SB Physiatry Corporation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SB PHYSIATRY CORPORATION

Practice address

201 N Mayfair Rd FL 4
Milwaukee, WI 53226-4216

Phone

(414) 259-7246

NPI assigned

Jan 8, 2025

Organization subpart

No

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

Authorized official

Name

Soliven C Bautista, MDNPI 1669470134

Title

President/Owner

Phone

(414) 732-1503

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soliven C Bautista, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Wauwatosa, WI
  • NPI 1669470134
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1265242762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 WEDGEWOOD DR",
            "city": "COLGATE",
            "state": "WI",
            "postal_code": "530179570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAYFAIR RD FL 4",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264216",
            "telephone_number": "414-259-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB PHYSIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "SOLIVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "414-732-1503",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ismail A Sayeedi, MD
• Oksana Sayko, MD
• Doreen Anderson Sayles, OTR
• William Larry Sayles, LAT, ATC
• Anjum Sayyad, M.D.
• SBS Transportation LLC
• Linda E. Scaffidi, MD
• Michael Guard Scahill, PNCB
• Destiney Scales
• Giuseppa Scaletta

• Physical Medicine & Rehabilitation Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.