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

Kristine Marie Ballera Bathan

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1689501223

Kristine Marie Ballera Bathan is a Physical Therapist in Private Practice in New York, New York. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2026
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Practice location Address checks out

1 Nagle Ave
New York, NY 10040-1405
Phone: (212) 928-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 050227 (NY)

Record details

NPI number1689501223
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 7, 2026
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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