Ma. Leah Cynthia Bautista-Quan, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

0-19849-1 Issued in NY

Practice address

936 W End Ave
Apt E3
New York, NY 10025-3554

Phone

(917) 916-9298

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leah Cynthia Bautista Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1487682571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 MONOCACY DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178236",
            "telephone_number": "917-916-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W END AVE",
            "address_2": "APT E3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253554",
            "telephone_number": "917-916-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA-QUAN",
        "first_name": "MA. LEAH",
        "middle_name": "CYNTHIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "0-19849-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "QM4052",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "BAUTISTA",
            "middle_name": "CYNTHIA",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Danielle Baurer
• Amanda Louise Bausch
• Bruce Bausk
• Margaret V. Bausman, LCSW
• Massiel Josefina Bautista Reyes, M.D.
• Alyssa Bautista, M.D.
• Basilio Nicolo Bautista III, MD
• Dalia Bautista, LCSW
• Edgar Gary Bautista, DDS
• Floreintje B Bautista, PT

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.