Mida N. Bautista-Dittmar, PT
Physical Therapist · Peru, IL
Mida N. Bautista-Dittmar, PT is a physical therapist with a practice address in Peru, Illinois, and NPI 1982714010, issued on Aug 30, 2006. Check the license (Illinois 70007736, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mida N. Bautista-Dittmar
- Credential
- PT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 70007736 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1627 4TH St, Peru, IL 61354
- Phone
- (815) 223-4479
- Enumerated
- Aug 30, 2006
- Record last updated
- Jan 14, 2009 (not updated in 17 years: call before relying on the address or phone)
- Fax
- (815) 223-4489
- Medicare enrollment
- Enrolled (PECOS I20050406000942); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 1627 4TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kelsey Brannan, M.S., ATCAthletic Trainer1275075590
- Steve Korsan, MS, ATCAthletic Trainer1447375258
- Tyler MartynPhysical Therapist1386406544
- Kimberly RubioOccupational Therapist1245497056
- Trevor Samolinski, LATAthletic Trainer1366273633
- Timothy Semlow, PTPhysical Therapist1457464562
Verify Mida N. Bautista-Dittmar in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 70007736Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- City Center Rehabilitation West - Inc.Peru, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
24 physical therapist records list a practice address in Peru
They are 24 of the 224 NPPES records with a practice address in Peru, and 12,045 physical therapist records in Illinois.
All 24 in Peru → All 12,045 in Illinois → Every provider in Peru →
Other physical therapist records in Illinois
- John AbantaoPaxton, IL1003554759
- Rico AbariciaAurora, IL1174790364
- Stella AbariciaAurora, IL1427216647
- Anthony Abbonato, DPTChicago, IL1750938999
- Jamil Abdallah, PTOak Lawn, IL1184931735
- Ahmed Abdeldaiem, PTHomewood, IL1275623571
- Ahmed Abdelfatah, P.TOak Lawn, IL1538309083
- Ashraf Abdelhamid, PT MS OCSBurr Ridge, IL1194745018
- Elizabeth AbePeoria, IL1790220283
- Corrie Abegglen, MSPTChicago, IL1679961304
Common questions
What is Mida N. Bautista-Dittmar, PT's NPI number?
Mida N. Bautista-Dittmar, PT's National Provider Identifier (NPI) is 1982714010, issued on Aug 30, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mida N. Bautista-Dittmar, PT located?
The NPPES record lists a practice address at 1627 4TH St, Peru, IL, 61354. Phone: (815) 223-4479. Providers update this record themselves, so call before visiting.
How can I verify Mida N. Bautista-Dittmar, PT's license?
NPPES lists Illinois license number 70007736, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.