Michelle Agustin Babista, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.017622 Issued in IL

Practice address

9933 Lawler Ave
Skokie, IL 60077-3703

Phone

(847) 264-9066

Fax

(847) 264-9088

NPI assigned

Dec 11, 2023

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2023.

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1649047408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773703",
            "telephone_number": "847-264-9066",
            "fax_number": "847-264-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773703",
            "telephone_number": "847-264-9066",
            "fax_number": "847-264-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABISTA",
        "first_name": "MICHELLE",
        "middle_name": "AGUSTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.017622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eamann Ayyad, APN-CNP
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• Afsana Babaria
• Stephany Jazmin Baca
• Elizabeth Helen Bachhuber, LCSW
• Leilah Backhus, MD
• Bacu Caspian Corp
• Emilia Baczek, RD, CDCES

• All providers in Skokie, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.