Mida N. Bautista-Dittmar, PT
NPI 1982714010ActiveIndividual· Physical Therapist· Peru, IL
Physical Therapist (PT) with City Center Rehabilitation West - Inc., practicing in Peru, Illinois. Medicare paid $98,768 for services to 216 patients in 2024.
Overview
| NPI | 1982714010 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Jan 14, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 70007736 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 216 |
|---|---|
| Services billed | 5,621 across 15 procedure codes |
| Paid by Medicare | $98,768 |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- City Center Rehabilitation West - Inc.Peru, IL · 4 clinicians
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