MRS. MARISSA LOURDES BAUTISTA (NPI# 1902236110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902236110 |
| Entity Type | Individual |
| Full Name | MRS. MARISSA LOURDES BAUTISTA |
| Practice Address |
1400 Medical Center Dr Ennis TX 75119-1587 |
| Mailing Address |
1701 Maplewood Ave Corsicana TX 75110-3405 |
| Practice Telephone | 9728754800 |
| Mailing Telephone | 9036549439 |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1226965 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1400 MEDICAL CENTER DR |
| City | ENNIS |
| State | TX |
| Zip Code | 75119-1587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171114 | Lewis Alton Ragsdale | Occupational Therapy Assistant | 1400 Medical Center Dr, Ennis, TX 75119-1587 | 2020-07-09 |
| 1033570908 | Eastland Memorial Hospital District | Skilled Nursing Facility | 1400 Medical Center Dr, Ennis, TX 75119-1587 | 2016-03-18 |
| 1861798415 | Kevin James Rigsby | Pharmacist | 1400 Medical Center Dr, Ennis, TX 75119-1587 | 2011-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121859 | Alexandria Etuk | Pharmacist | 101 Sh-437 Spur, Ennis, TX 75119 | 2020-10-14 |
| 1285279158 | Oluchi Ozumba Md Pa | Pain Medicine | 601 S Cly St, Suite 104, Ennis, TX 75119 | 2019-11-14 |
| 1952806085 | Ikids Pediatric Dentistry Ennis, Pllc | Dentist | 711 S Clay St Ste A, Ennis, TX 75119 | 2018-03-29 |
| 1609382068 | Living Single LLC | Residential Treatment Facility, Physical Disabilities | 809 E. Denton Street, Ennis, TX 75119 | 2017-12-21 |
| 1912363300 | Erin Denise Jackson | Counselor | 219 W. Brown St, Suite A, Ennis, TX 75119 | 2016-01-14 |
| 1164769139 | Matthew Garrett Cooper | Nurse Anesthetist, Certified Registered | 2201 W. Lampasas Street, Ennis, TX 75119 | 2013-01-11 |
| 1922343805 | Braces R Us PC | Dentist | 1012 E. Ennis Ave. Ste. C, Ennis, TX 75119 | 2012-12-04 |
| 1154684355 | Stefanie Nicole Rust | Emergency Medicine | 2201 West Lampasas Street, Ennis, TX 75119 | 2012-06-21 |
| 1265710909 | Traditions Health Care of Ennis, LLC | Home Health | 109 Southwest Main Street, Suite A, Ennis, TX 75119 | 2011-07-29 |
| 1578792370 | Peak Physical Therapy and Rehabilitation LLC | Physical Therapist | 2200 Physicians Blvd, Ste D, Ennis, TX 75119 | 2009-07-14 |
| Find all providers in zip 75119 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710173513 | Francisco Javier Silva | Physical Therapist | 1011 E Ennis Ave Ste D, Ennis, TX 75119-4352 | 2007-09-14 |
| 1205871100 | Brandi M Anthony | Physical Therapist | 1011 East Ennis Avenue, Suite D, Ennis, TX 75119 | 2006-06-17 |
| 1003863390 | Victory Physical Therapy Limited Partnership | Physical Therapist | 1101 S Clay St Ste B, Ennis, TX 75119-6422 | 2006-05-30 |
| 1760973598 | Connor Schultz | Physical Therapist | 305 N Main St, Ennis, MT 59729-8001 | 2018-05-29 |
| 1174971824 | Trevor Karl Hansen | Physical Therapist | 2201 W Lampasas St, Ennis, TX 75119-5644 | 2016-06-02 |
| 1093102501 | Julia Penelope Brown | Physical Therapist | 2201 W Lampasas St, Ennis, TX 75119-5644 | 2015-04-22 |
| 1982091997 | James H Haberman | Physical Therapist | 2201 W Lampasas St, Ennis, TX 75119-5644 | 2015-04-17 |
| 1881081792 | Frances Jill Arkusinski | Physical Therapist | 2201 W Lampasas St, Ennis, TX 75119-5644 | 2015-04-17 |
| 1699107508 | Andrew Milton Thomas | Physical Therapist | 305 N Main St, Ennis, MT 59729-8001 | 2013-08-01 |
| 1093069791 | Deana Marie Wright | Physical Therapist | 109 Nw Main St, Ennis, TX 75119-4053 | 2012-11-01 |
| Find all providers in ENNIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.