Active NPI
Susan R Bautista, RPT
- Physical Therapist
- Huntsville, AL
National Provider Identifier
1477529196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH3746
- Practice address
- 6767 Old Madison Pike
Suite 400 Hga Home Health
Huntsville, AL 35801 - Phone
- (256) 922-6650
- Fax
- (256) 922-6651
- NPI assigned
- Feb 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH3746 | AL | Primary |
Addresses
Primary practice location
6767 Old Madison Pike
Suite 400 Hga Home Health
Huntsville, AL 35801
Mailing address
2089 Cecil Ashburn Dr SE
Ste 202
Huntsville, AL 35802-2569
Phone (256) 270-9922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51519592 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477529196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2089 CECIL ASHBURN DR SE",
"address_2": "STE 202",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358022569",
"telephone_number": "256-270-9922",
"fax_number": "256-270-9923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6767 OLD MADISON PIKE",
"address_2": "SUITE 400 HGA HOME HEALTH",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35801",
"telephone_number": "256-922-6650",
"fax_number": "256-922-6651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTISTA",
"first_name": "SUSAN",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2026-07-13",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH3746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51519592",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.