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

Percival Bautista

Individual provider Physical Therapist · NPI 1043536105

Percival Bautista is a Physical Therapist in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2010.

Licensed in
MD
In the registry since
2010

Practice location Address checks out

2200 Kernan Dr
Baltimore, MD 21207-6665
Phone: (410) 448-6310
Fax: (410) 448-6338
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 21938 (MD)

Record details

NPI number1043536105
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2010
Last updated in NPPESApril 14, 2010

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