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

Individual provider Physical Therapist · NPI 1972720035

Grealita Bautista, PT is a Physical Therapist in Private Practice in Jackson, New Jersey. Qualified in 1996, 30 years ago. Practices with Coastal Home Rehabilitation, LLC, a 52-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
30
Licensed in
NJ
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

11 History Ln
Jackson, NJ 08527-2209
Phone: (732) 367-6600
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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 40QA01165300 (NJ)

Record details

NPI number1972720035
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedApril 19, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Coastal Home Rehabilitation, Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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