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

MS. Justine Mae Bautista, PT

Individual provider Physical Therapist · NPI 1700843083

MS. Justine Mae Bautista, PT is a Physical Therapist in Private Practice in Woodbridge, Virginia. Qualified in 1994, 32 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
32
Licensed in
VA
In the registry since
2006
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

2076 Daniel Stuart Sq
Woodbridge, VA 22191-3315
Phone: (703) 492-6934
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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 2305102956 (VA)

Record details

NPI number1700843083
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 28, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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