Abigail Bautista, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA01667900 Issued in NJ

Practice address

4095 US Highway 1
Suite 52
Monmouth Junction, NJ 08852-2152

Phone

(732) 853-8177

NPI assigned

Aug 1, 2016

Last updated

Aug 1, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Physical Therapy and Fitness Center IncGroup PAC ID 1456504331, 14 clinicians

Innovative Physical Therapy CenterGroup PAC ID 4183140874, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Physical Therapy and Fitness Center Inc

  • Physical Therapy Clinic/Center
  • Kendall Park, NJ
  • NPI 1740548742

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Innovative Physical Therapy Center

  dba Innovative Physical Therapy and Fitness Center

  • Physical Therapist
  • Monroe, NJ
  • NPI 1497562961

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Innovative Physical Therapy and Fitness Center Inc

  • Physical Medicine & Rehabilitation Physician
  • Edison, NJ
  • NPI 1184205072

  Orthopedic

  NPD

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1124571765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 US HIGHWAY 1",
            "address_2": "SUITE 52",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522152",
            "telephone_number": "732-853-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 US HIGHWAY 1",
            "address_2": "SUITE 52",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522152",
            "telephone_number": "732-853-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "ABIGAIL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01667900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lei Lei Aung, MD
• Awakened Path Counseling & Psychotherapy, LLC
• Reagan Asamoah Ayim
• Eniola Bamidele, FNP-BC, PMHNP-BC
• Daniyel Barton, FNP
• Tiffany Bautista, MS, OTR
• Anna Rose Beier, ED.S
• Michelle Bellows, PHARMD
• Joshny Benny, FNP
• BFG Princeton Propco IV, LLC (Ciel Senior Living)

• Orthopedic Physical Therapist in Monmouth Junction, NJ
• Providers in Monmouth Junction, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.