Kimberly Bautista, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

4152 Issued in HI

Practice address

64-974 Mamalahoa Hwy Ste 103
Kamuela, HI 96743-7334

Phone

(808) 887-1371

NPI assigned

Jan 20, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bodypro Physical Therapy IncGroup PAC ID 7315012705, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bodypro Physical Therapy Inc

  dba Bodypro Physical Therapy

  • Physical Therapist
  • Kamuela, HI
  • NPI 1235397589

  Orthopedic

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1528425600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6810",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967436810",
            "telephone_number": "808-887-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-974 MAMALAHOA HWY STE 103",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437334",
            "telephone_number": "808-887-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "KIMBERLY",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "34171",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "4152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ban-Nix Home Medical Equipment, Inc.
• Jennifer Leeann Banks, DPT
• Kalei K Baptista
• Barbara J Sparrow LLC
• Maria Stella Kalalo Batol
• Michelle Baydo, L.AC.
• John M Beard, D.C.
• Nellie Bedford
• Nicole Marie Berinobis, LMT
• Heather Berry, ATC

• Orthopedic Physical Therapist in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Orthopedic Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.