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

Mary Grace A Bautista, PT

Individual provider Physical Therapist · NPI 1962762260

Mary Grace A Bautista, PT is a Physical Therapist in Private Practice in Portland, Oregon. Qualified in 2003, 23 years ago. Practices with Orthopedic and Fracture Clinic PC, a 56-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
23
Licensed in
OR
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11782 SW Barnes Rd Ste 300
Portland, OR 97225-5933
Phone: (503) 906-4323
Fax: (503) 906-4319
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14795 Sw Murray Scholls Dr Ste 109, Beaverton, OR 97007-9230 — (503) 906-4301

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT63986 (OR)

Record details

NPI number1962762260
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 21, 2012
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Orthopedic And Fracture Clinic Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portland