Minda Bautista, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070013589 Issued in IL

Practice address

759 Timothy LN
Des Plaines, IL 60016-1155

Phone

(773) 877-8370

NPI assigned

Mar 20, 2013

Sex

Female

Sole proprietor

No

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 IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Medicine and Therapy, LTD.Group PAC ID 4284692294, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Advanced Physical Medicine & Therapy, LTD.

  • Chiropractor
  • Mount Prospect, IL
  • NPI 1659343713

  IL, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Advanced Physical Medicine & Therapy, LTD.

  • Customized Equipment (DME)
  • Mount Prospect, IL
  • NPI 1821680273
  NPD

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1881936680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 TIMOTHY LANE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "773-877-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 TIMOTHY LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161155",
            "telephone_number": "773-877-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "MINDA",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Basuel
• Micaela Bates, LCSW
• Chad Michael Bauer, AUD
• Bridget Bauersfeld, LCSW-C
• Amy L Baur, LCSW
• Devon Baxter Steshetz, LCSW
• Be Well Nutrition Counseling PLLC
• Becker Dental and Associates
• Mark Steven Becker, RPH
• Nils Becker

• All providers in Des Plaines, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.