Miriam Bautista, M.A. OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

006674 Issued in NY

Practice address

167 Myers Corners Rd
Suite 200
Wappingers Falls, NY 12590-3869

Phone

(845) 298-5000

NPI assigned

Nov 10, 2011

Last updated

Nov 10, 2011By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wappingers Central School District

  • Health Educator
  • Wappingers Falls, NY
  • NPI 1063770642
  NPD (past)

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1902183536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BRIARWOOD DR",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125906804",
            "telephone_number": "845-838-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 MYERS CORNERS RD",
            "address_2": "SUITE 200",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903869",
            "telephone_number": "845-298-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "MIRIAM",
        "name_prefix": "Mrs.",
        "credential": "M.A. OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Barrett, LPN
• Timothy James Barrett, DPT
• Rosa Bates, PHARM.D.
• Colleen Battipaglia, PTA
• Jenna Baudanza, CCC-SLP
• Lori Baxter, LCSW
• Sarah Anne Beck-Divalentino, PT,DPT
• Joanne L Bell, NP
• Megan Leigh Berger
• Rodelito Bernal, PT

• Occupational Therapist in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.