Marisa Bautista, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1301779 Issued in TX

Practice address

3215 Gateway Blvd W Ste 201
El Paso, TX 79903-4225

Phone

(915) 493-6799

NPI assigned

Mar 6, 2018

Last updated

Mar 17, 2018By 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 NM, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Border Therapy Services LLCGroup PAC ID 1355421181, 36 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.

• Border Therapy Services LLC

  dba Border Therapy Services

  • Physical Therapist
  • El Paso, TX
  • NPI 1871650598

  NM

  Medicare reassignment Care Compare group NPD
• Border Therapy Services LLC

  • Physical Therapist
  • Las Cruces, NM
  • NPI 1437674264
  NPD (past)
• Matrix Rehabilitation Ohio, Inc.

  dba Matrix Rehab Solutions

  • Rehabilitation Clinic/Center
  • Akron, OH
  • NPI 1336173335
  NPD (past)

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497257497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-493-6799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 S Telshor Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118601",
            "country_code": "US",
            "telephone_number": "575-339-1066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "MARISA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1301779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Bauer, SLP
• Laura Baugh
• Wilma Bausas, MD
• Christine Bautista, NP-C
• Lorraine Bautista, M.D.
• Marylou Bautista, RN
• Ashley Baw
• Angelica Baylon Andrew, MD
• Eseosa Amy Bazuaye-Ekwuyasi, MD, MMS
• Bci

• Physical Therapist in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.