DR. JONATHAN BAUTISTA DPT
NPI 1053142463
Physical Therapist in Las Vegas, NV

Active since August 08, 2024Accepts Medicare Assignment
4000 S EASTERN AVE STE 150, LAS VEGAS, NV 89119(725) 726-7847 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Aug 8, 2024 (2 updates tracked since 2024).

About Dr. Jonathan Bautista Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN BAUTISTA DPT (NPI 1053142463) is an individual physical therapist in Las Vegas, Nevada, licensed in Nevada (6522) and active in the NPI registry since August 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1053142463
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. JONATHAN BAUTISTACredential: DPT
Location Address4000 S EASTERN AVE STE 150Las Vegas, NV 89119-0840
Mailing Address6631 Creeping Thyme StLas Vegas, NV 89148-4801 · (775) 742-7133
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 8, 2024
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1053142463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NV · 6522
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4000 S EASTERN AVE STE 150, Las Vegas, NV 89119

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Bautista Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143760215
PECOS Enrollment IDI20240904003809

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4000 S EASTERN AVE STE 150
LAS VEGAS, NV 89119
Occupational Therapist
4000 S EASTERN AVE STE 150
LAS VEGAS, NV 89119
Behavior Analyst
4000 S EASTERN AVE STE 150
LAS VEGAS, NV 89119
Physical Therapist
4000 S EASTERN AVE STE 150
LAS VEGAS, NV 89119
Physical Therapist
4000 S EASTERN AVE STE 150
LAS VEGAS, NV 89119
Clinic/Center (Developmental Disabilities)
4000 S EASTERN AVE STE 150
LAS VEGAS, NV 89119
Physical Therapist
4000 S EASTERN AVE STE 150
LAS VEGAS, NV 89119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Bautista's NPI number?

The NPI number for Jonathan Bautista is 1053142463. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Jonathan Bautista located?

Jonathan Bautista practices at 4000 S Eastern Ave Ste 150, Las Vegas, NV 89119. The listed phone number is (725) 726-7847.

What is Jonathan Bautista's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jonathan Bautista enrolled in Medicare?

Yes. Jonathan Bautista is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Bautista was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.