Active NPI
Allan Bautista, RPT
- Physical Therapist
- Buena Park, CA
National Provider Identifier
1932263878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20033
- Practice address
- 8615 Knott Ave
Suite 8
Buena Park, CA 90620-3841 - Phone
- (562) 484-3860
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT20033 | CA | Primary |
Addresses
Primary practice location
8615 Knott Ave
Suite 8
Buena Park, CA 90620-3841
Mailing address
231 W Riviera CT
La Habra, CA 90631-2025
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT20033 | CA | MD | Physical Therapist |
| 20033 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Sports Rehab Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Recovercare Therapy Group, Inc. | Physical Therapist | Past | Accepting new patients |
| Advanced Health Rehab | Physical Therapist | Past | Accepting new patients |
| Recovercare Therapy Group, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Physical Therapist
- La Mirada, CA
- NPI 1043585045
-
- Physical Therapist
- Buena Park, CA
- NPI 1194309542
-
- Physical Therapist
- Buena Park, CA
- NPI 1508802471
-
- Physical Therapist
- Norwalk, CA
- NPI 1659301935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1932263878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 W RIVIERA CT",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906312025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8615 KNOTT AVE",
"address_2": "SUITE 8",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906203841",
"telephone_number": "562-484-3860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUTISTA",
"first_name": "ALLAN",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT20033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.