Minda Bautista, M.P.T.
Physical Therapist in Des Plaines, IL. Individual provider (NPI-1).
NPI number1881936680
StatusActive
Last updated in NPPESMar 20, 2013
Details
- NPI
- 1881936680
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Minda Bautista
- Credential
- M.P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2013
- Last updated
- Mar 20, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070013589 | IL | Yes |
Practice location
759 Timothy LnDes Plaines, IL 60016-1155
Phone 773-877-8370
Mailing address
759 Timothy LaneDes Plaines, IL 60016
Phone 773-877-8370
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