Active NPI
Aiena Laya Angeles Bautista Griffith, PT
- Physical Therapist
- Logan, UT
National Provider Identifier
1194173799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19703
- Practice address
- 630 E 1400 N Ste 140
Logan, UT 84341-2549 - Phone
- (435) 213-3850
- NPI assigned
- May 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14216123-2401 | UT | |
| Physical Therapist | 225100000X | 19703 | MA | Primary |
Addresses
Primary practice location
630 E 1400 N Ste 140
Logan, UT 84341-2549
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
120 William Penn Plz
Durham, NC 27704-2150
Phone (919) 220-5255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P20142 | Other | NC | STATE LICENSE |
Other names 1
- Aiena A Bautista
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Boston University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 E 1400
Suite 140
Logan, UT 84341-2549
Phone (435) 213-3850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19703 | MA | MD | Physical Therapist |
| 14216123-2401 | UT | MD | Physical Therapist |
Interoperability endpoints
- aienalaya.griffith.p12@direct.athleticoltd.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Clearfield, UT
- NPI 1902423049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1194173799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E 1400 N STE 140",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412549",
"telephone_number": "435-213-3850"
}
],
"practiceLocations": [
{
"address_1": "120 William Penn Plz",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277042150",
"country_code": "US",
"telephone_number": "919-220-5255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFITH",
"first_name": "AIENA LAYA",
"middle_name": "ANGELES BAUTISTA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "14216123-2401",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "19703",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "P20142",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AIENA",
"last_name": "BAUTISTA",
"middle_name": "A",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.