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

Individual provider Physical Therapist · NPI 1386781573

Mark Anthony Bautista Gutierrez, PT is a Physical Therapist in Private Practice in New Hyde Park, New York. Qualified in 1997, 29 years ago. Practices with Fox Rehabilitation Physical Therapy Services LLC, a 228-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Licensed in
NY
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

625 Stewart Ave
New Hyde Park, NY 11040-5430
Phone: (516) 270-3110
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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 0240771 (NY)

Record details

NPI number1386781573
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 30, 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 1997 (29 years in practice)
Group practice Fox Rehabilitation Physical Therapy Services Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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