- Practice location
- 11782 SW Barnes RD Ste 300, Portland, OR 97225-5933
- Phone
- 503-906-4323
- Fax
- 503-906-4319
- Last updated
- December 29, 2023
Mary Grace A Bautista is a Physical Therapist based in Portland, OR. Mary Grace A Bautista practices in Portland, OR and has the professional credentials of PT. The NPI Number for Mary Grace A Bautista is 1962762260 and holds a License No. PT63986 (OR). The current practice location address for Mary Grace A Bautista is 11782 SW Barnes RD Ste 300, Portland, OR 97225-5933 and can be reached out via phone at 503-906-4323 and via fax at 503-906-4319.
Provider Profile Details
- NPI Number
- 1962762260
- Provider Name
- Mary Grace A Bautista
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11782 SW Barnes RD Ste 300, Portland, OR 97225-5933
- Phone Number
- 503-906-4323
- Fax Number
- 503-906-4319
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 21, 2012
- Last Update Date
- December 29, 2023
- Certification Date
- December 29, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11782 SW Barnes RD Ste 300
Portland, OR 97225-5933 - City
- Portland
- State
- Oregon
- Zip
- 97225-5933
- Phone Number
- 503-906-4323
- Fax Number
- 503-906-4319
Provider Business Mailing Address Details
- Address
- 1426 S Fairfield Ave
Lombard, IL 60148-4669 - City
- Lombard
- State
- IL
- Zip
- 60148-4669
License Information
- License Number
- PT63986
- License State
- OR
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary Grace A Bautista, PT?
The NPI number of Mary Grace A Bautista, PT is 1962762260. It was assigned on May 21, 2012 and is currently active in the NPPES registry.
What is the specialty of Mary Grace A Bautista, PT?
Mary Grace A Bautista, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in OR under license number PT63986.
Where does Mary Grace A Bautista, PT practice?
The practice location is 11782 SW Barnes RD Ste 300, Portland, OR 97225-5933. The office can be reached at 503-906-4323 (phone) or 503-906-4319 (fax).
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 1962762260 directly on the NPPES registry website.