Leonard Ralph Bautista, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 32007 Issued in CA

Practice address

295 E 3Rd St
Long Beach, CA 90802-3141

Phone

(562) 435-1699

NPI assigned

Sep 25, 2007

Sex

Male

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Balance and Motion Physical Therapy

  • Physical Therapist
  • Cerritos, CA
  • NPI 1881247187
  Medicare reassignment Authorized official
• Back in Motion Therapy Inc.

  • Physical Therapist
  • Rancho Palos Verdes, CA
  • NPI 1790002095
  NPD (past)
• Long Beach Total Body Therapy Inc

  • Physical Therapist
  • Long Beach, CA
  • NPI 1982751285
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1801083639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W 214TH ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 E 3RD ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023141",
            "telephone_number": "562-435-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "LEONARD",
        "middle_name": "RALPH",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 32007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christal Bautista
• Gail Bautista
• Gregory Bautista
• Juan Bautista
• Junelyn Bantad Bautista
• Loremea Bautista
• Marlo Bautista, RN
• Omar E Bautista
• Raymond M Bautista
• Sabrina Bautista

• Physical Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.