Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan Bautista, DPT

Individual provider Physical Therapist · NPI 1053142463

Dr. Jonathan Bautista, DPT is a Physical Therapist in Private Practice in Las Vegas, Nevada. Qualified in 2024, 2 years ago. Practices with Smith Therapy Partners, a 46-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4000 S Eastern Ave Ste 150
Las Vegas, NV 89119-0840
Phone: (725) 726-7847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6522 (NV)

Record details

NPI number1053142463
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 8, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Smith Therapy Partners — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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