Kimberly A Bautista (NPI# 1528425600, PAC ID# 4587956933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1528425600 |
| PAC ID by PECOS | 4587956933 |
| Professional Enrollment ID | I20160706000950 |
| Full Name | Kimberly A Bautista |
| Organization Legal Name | BODYPRO PHYSICAL THERAPY INC |
| Address |
64-974 Mamalahoa Hwy Suite 103 Kamuela HI 96743-7334 |
| Phone Number | 8088871371 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7315012705 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 64-974 Mamalahoa Hwy, Suite 103, Kamuela, HI 96743-7334 | 8088871371 | BODYPRO PHYSICAL THERAPY INC |
| Organization Legal Name | BODYPRO PHYSICAL THERAPY INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer M Taylor | Physical Therapy | Bodypro Physical Therapy Inc | 64-974 Mamalahoa Hwy, Suite 103, Kamuela, HI 96743-7334 |
| Madeline A Sofranac | Physical Therapy | Bodypro Physical Therapy Inc | 64-974 Mamalahoa Hwy, Suite 103, Kamuela, HI 96743-7334 |
| Jennifer L Banks | Physical Therapy | Bodypro Physical Therapy Inc | 64-974 Mamalahoa Hwy, Suite 103, Kamuela, HI 96743-7334 |
| John Allen Warneke | Physical Therapy | Bodypro Physical Therapy Inc | 64-974 Mamalahoa Hwy, Suite 103, Kamuela, HI 96743-7334 |
| Street Address |
64-974 MAMALAHOA HWY SUITE 103 |
| City | KAMUELA |
| State | HI |
| Zip | 96743-7334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer M Taylor | Physical Therapy | Bodypro Physical Therapy Inc | 64-974 Mamalahoa Hwy, Suite 103, Kamuela, HI 96743-7334 |
| Madeline A Sofranac | Physical Therapy | Bodypro Physical Therapy Inc | 64-974 Mamalahoa Hwy, Suite 103, Kamuela, HI 96743-7334 |
| Jennifer L Banks | Physical Therapy | Bodypro Physical Therapy Inc | 64-974 Mamalahoa Hwy, Suite 103, Kamuela, HI 96743-7334 |
| John Allen Warneke | Physical Therapy | Bodypro Physical Therapy Inc | 64-974 Mamalahoa Hwy, Suite 103, Kamuela, HI 96743-7334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan S Camacaylan | Physical Therapy | Mana Physical Therapy Inc | 65-1230 Mamalahoa Hwy E11, Kamuela, HI 96743 |
| Samuel P Gingrich | Family Practice | 59 -564 Kohala Mountain Rd, Kamuela, HI 96743 | |
| Charles Thomas Mauro Iv | Dermatology | 868 Ululani St, Suite 103, Hilo, HI 96743 | |
| Noelani Vargas | Physical Therapy | Mana Physical Therapy Inc | 65-1230 Mamalahoa Hwy E11, Kamuela, HI 96743 |
| Disa Gay B Camacaylan | Physical Therapy | Mana Physical Therapy Inc | 65-1230 Mamalahoa Hwy E11, Kamuela, HI 96743 |
| Melissa S Gosland | Family Medicine | Hawaii Permanente Medical Group Inc | 67-1185 Mamalahoa Hwy, Kamuela, HI 96743-7304 |
| Lois L Gregg | Family Medicine | Hawaii Permanente Medical Group Inc | 67-1185 Mamalahoa Hwy, Kamuela, HI 96743-7304 |
| Jeffrey R Tolan | Family Medicine | Hawaii Permanente Medical Group Inc | 67-1185 Mamalahoa Hwy, Kamuela, HI 96743-7304 |
| David A Knowles | Physician Assistant | Hawaii Permanente Medical Group Inc | 67-1185 Mamalahoa Hwy, Kamuela, HI 96743-7304 |
| Jed A Groom | General Practice | 64-1066 Mamalahoa Hwy, Unit B, Kamuela, HI 96743-7309 | |
| Find all physicians in zip 96743 | |||
| City | KAMUELA |
| Zip Code | 96743 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | KAMUELA + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kimberly A Bautista.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.