Individual provider Active NPI

Ligia Patricia Barajas-Bustos, O.T

  • Rehabilitation Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1770635716
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
8236 Issued in FL
Practice address
3820 Colonial Blvd
Suite 103
Fort Myers, FL 33912-1094
Phone
(239) 275-4411
Fax
(239) 275-6408
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 8236 FL Primary

Addresses

Primary practice location

3820 Colonial Blvd
Suite 103
Fort Myers, FL 33912-1094

Mailing address

2320 S.W 19 PL
Cape Coral, FL 33991
Phone (239) 738-2918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8236FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One on One Rehab Inc PastSince Feb 17, 2006 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770635716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 S.W 19 PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33991",
            "telephone_number": "239-738-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 COLONIAL BLVD",
            "address_2": "SUITE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121094",
            "telephone_number": "239-275-4411",
            "fax_number": "239-275-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAJAS-BUSTOS",
        "first_name": "LIGIA",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "O.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "8236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.