Edith Bautista, PT-ASSISTANT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2051137 Issued in TX

Practice address

2108 Chihuahua St Ste 2
Laredo, TX 78043-3658

Phone

(956) 568-4571

NPI assigned

Jun 12, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Safari Kids Rehabilitation Center,LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Laredo, TX
  • NPI 1154567568
  NPD (past)

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1518371012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 CHIHUAHUA ST STE 2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433658",
            "telephone_number": "956-568-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 CHIHUAHUA ST STE 2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433658",
            "telephone_number": "956-568-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "EDITH",
        "credential": "PT-ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2051137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Raymundo Barrera, OD
• Viridiana Barrera
• Haley Jo Barrick, B.S.
• Sharmi Barua, MD
• Jacqueline Zelda Bassini, LBSW
• Lupita Bautista
• Valerie Bautista
• BCFS Health and Human Services
• Beacon Internal Medicine Associates
• Luis Beattie, FNP

• Physical Therapy Assistant in Laredo, TX
• Providers in Laredo, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.