Jhancel Anthea Solis Bautista

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038182 Issued in NY

Practice address

224 W 30TH St
Suite 703
New York, NY 10001-4905

Phone

(407) 681-2999

NPI assigned

Oct 22, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jhancel Anthea Tiquis Bautista Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1124490743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W 30TH ST",
            "address_2": "SUITE 703",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W 30TH ST",
            "address_2": "SUITE 703",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014905",
            "telephone_number": "407-681-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "JHANCEL ANTHEA",
        "middle_name": "SOLIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JHANCEL ANTHEA",
            "last_name": "BAUTISTA",
            "middle_name": "TIQUIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dalia Bautista, LCSW
• Edgar Gary Bautista, DDS
• Floreintje B Bautista, PT
• Jeannette Bautista
• Jennifer Bautista, MSW
• Joseph Ryan Bautista, DO
• Joyce Karen L. Bautista, FNP-BC
• Judita Baltasar Bautista, M.D.
• Kimberly Bautista, M.S.ED
• Maria Bautista, LCSW

• All providers in New York, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.