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

January Bautista Antonio

Individual provider Physical Therapist · NPI 1811859127

January Bautista Antonio is a Physical Therapist in Private Practice in Brooklyn, New York. Qualified in 2023, 3 years ago. Practices with Refuah Physical Therapy PC, an 8-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

3020 Avenue M
Brooklyn, NY 11210-4745
Phone: (929) 703-2732
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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 055193 (NY)

Record details

NPI number1811859127
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Refuah Physical Therapy Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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