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

MS. Sonya M Bautista, PT, MSPT, CERTDN

Individual provider Orthopedic Physical Therapist · NPI 1104924125

MS. Sonya M Bautista, PT, MSPT, CERTDN is a Physical Therapist in Private Practice in Richmond, Virginia. Qualified in 1993, 33 years ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
33
Licensed in
VA
In the registry since
2006
Specialties on file
2
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

2040 John Rolfe Pkwy
Richmond, VA 23238-8111
Phone: (804) 754-0916
Fax: (804) 754-0919
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Additional practice locations (1)

  • 2040 John Rolfe Pkwy, Richmond, VA 23238-8111 — (804) 754-0916

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305005005 (VA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 2305005005 (VA)

Record details

NPI number1104924125
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , MSPT , CERTDN
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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