- Practice location
- 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766
- Phone
- 845-615-2222
- Fax
- —
- Last updated
- December 11, 2012
Phillip Bautista is a Physical Therapy Assistant based in Goshen, NY. Phillip Bautista practices in Goshen, NY and has the professional credentials of PTA. The NPI Number for Phillip Bautista is 1255676672 and holds a License No. 008174 (NY). The current practice location address for Phillip Bautista is 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 and can be reached out via phone at 845-615-2222.
Provider Profile Details
- NPI Number
- 1255676672
- Provider Name
- Phillip Bautista
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766
- Phone Number
- 845-615-2222
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 11, 2012
- Last Update Date
- December 11, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Hatfield Ln
Suite 203
Goshen, NY 10924-6766 - City
- Goshen
- State
- New York
- Zip
- 10924-6766
- Phone Number
- 845-615-2222
Provider Business Mailing Address Details
- Address
- Po Box 239
Goshen, NY 10924-0239 - City
- Goshen
- State
- NY
- Zip
- 10924-0239
- Phone Number
- 845-615-1585
License Information
- License Number
- 008174
- License State
- NY
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapy Assistants near Goshen, NY
View all Physical Therapy Assistants in Goshen →- Adam K St Germain, PTAPhysical Therapy Assistant · NPI 1770211401
- Barbara J Amelio, PTAPhysical Therapy Assistant · NPI 1922168111
- Deborah Palastra, LPTAPhysical Therapy Assistant · NPI 1346736154
- Denise M WrightPhysical Therapy Assistant · NPI 1780474593
- Jamie A Jarvis, PTAPhysical Therapy Assistant · NPI 1669532867
- Jennifer RiveraPhysical Therapy Assistant · NPI 1568104438
Frequently Asked Questions
What is the NPI number of Phillip Bautista, PTA?
The NPI number of Phillip Bautista, PTA is 1255676672. It was assigned on December 11, 2012 and is currently active in the NPPES registry.
What is the specialty of Phillip Bautista, PTA?
Phillip Bautista, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NY under license number 008174.
Where does Phillip Bautista, PTA practice?
The practice location is 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766. The office can be reached at 845-615-2222 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255676672 directly on the NPPES registry website.