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

Individual provider Physical Therapy Assistant · NPI 1255676672

Phillip Bautista, PTA is a Physical Therapy Assistant in Goshen, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

30 Hatfield Ln Ste 203
Goshen, NY 10924-6766
Phone: (845) 615-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 008174 (NY)

Record details

NPI number1255676672
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 11, 2012
Last updated in NPPESDecember 11, 2012

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