Individual provider Active NPI

Dennis Bautista Cajita, P.T.

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1851466775
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018620 Issued in NY
Practice address
27-51 27TH St.
Astoria, NY 11102
Phone
(718) 728-0612
Fax
(718) 545-7771
NPI assigned
Nov 24, 2006
Sex
Male
Sole proprietor
No

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
Physical Therapist 225100000X 018620 NY Primary

Addresses

Primary practice location

27-51 27TH St.
Astoria, NY 11102

Mailing address

481A FR. Capodanno Blvd.
Ste. 1
Staten Island, NY 10305
Phone (718) 720-3790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070425000008 NJ Practitioner - Physical Therapist in Private Practice 1951320894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westfield Physical Therapy LLCGroup PAC ID 3274936414, 2 clinicians

Practice addresses (Care Compare)

845 Broad Ave
Suite 104
Ridgefield, NJ 07657-1055
Phone (908) 301-6134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018620NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westfield Physical Therapy LLC Physical Therapist CurrentSince Sep 10, 2021 Accepting new patients
Ridgefield Physical Therapy LLC Physical Therapist Current Accepting new patients
Cajita and Associates Physical Therapy LLC Physical Therapist Past Accepting new patients
Maharlika Physical Therapy PC Physical Therapist PastSince Jun 12, 2001 Accepting new patients
New Jersey Rehab Pain Clinic PC PastSince Mar 9, 2015 Accepting new patients

Locations

1271 Westfield Ave
Rear
Rahway, NJ 07065
Phone (908) 301-6134

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851466775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481A FR. CAPODANNO BLVD.",
            "address_2": "STE. 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-720-3790",
            "fax_number": "718-720-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27-51 27TH ST.",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11102",
            "telephone_number": "718-728-0612",
            "fax_number": "718-545-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAJITA",
        "first_name": "DENNIS",
        "middle_name": "BAUTISTA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

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.
  • 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.