Grealita Bautista, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01165300 Issued in NJ

Practice address

11 History LN
Jackson, NJ 08527-2209

Phone

(732) 367-6600

NPI assigned

Apr 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Home Rehabilitation, LLCGroup PAC ID 0345418646, 50 clinicians

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

• Coastal Home Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Belmar, NJ
  • NPI 1316236664

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Achieve at Home Therapy Services

  • Occupational Therapist
  • Red Bank, NJ
  • NPI 1033867189

  Physical Therapist

  Medicare reassignment NPD
• Kessler Institute for Rehabilitation, Inc.

  • Rehabilitation Hospital
  • Marlton, NJ
  • NPI 1528512266
  NPD (past)
• Monroe Physical Therapy & Wellness Center Inc.

  • Physical Therapist
  • Monroe Township, NJ
  • NPI 1528010915
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972720035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 LINDEN AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236140",
            "telephone_number": "732-477-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HISTORY LN",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272209",
            "telephone_number": "732-367-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "GREALITA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01165300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartley Assisted Living, LLC
• Bartley Healthcare Inc
• Bartley Operator LLC (Bartley Nursing & Rehab)
• Dellareece Bartley-Chin, M.D.
• Sora Bauer
• BBCS Counseling, LLC (BBCS Counseling Services)
• Beacon Specialized Living New Jersey, Inc.
• Beacon Therapy Services LLC
• Morgan Hunter Belitz
• Susan Michelle Beltran, APN

• Physical Therapist in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Physical Therapist in New Jersey

• 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.