Individual provider · Type 1 NPI

Phillip Bautista, PTA

Physical Therapy Assistant · Goshen, NY

NPI number 1255676672 Active

Practice location

30 Hatfield Ln, Suite 203
Goshen, NY 10924-6766

Call (845) 615-2222 Map

Mailing address

PO Box 239
Goshen, NY 10924-0239

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X008174 (NY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1255676672

Phillip Bautista, PTA's National Provider Identifier is 1255676672, issued on Dec 11, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Goshen, NY. The record was last updated on Dec 11, 2012.