Terran Elizabeth Gates, CPO, MSPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

OPP00298 Issued in AR

Practice address

1325 N Main St
Harrison, AR 72601-2212

Phone

(479) 418-2297

Fax

(479) 227-5439

NPI assigned

Aug 17, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22285/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gates Prosthetics & Mobility Clinic Co

  • Prosthetic/Orthotic Supplier
  • Harrison, AR
  • NPI 1528759545

  Orthotist

  NPD Authorized official
• Gates Prosthetics & Mobility Clinic Co

  • Prosthetic/Orthotic Supplier
  • Bentonville, AR
  • NPI 1952154833
  NPD (past) Authorized official
• Gates Prosthetics & Mobility Clinic Co

  • Prosthetic/Orthotic Supplier
  • Mountain Home, AR
  • NPI 1952155160
  NPD (past) Authorized official
• Embrace Fmo

  • Family Medicine Physician
  • Bentonville, AR
  • NPI 1417554015

  Prosthetist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1013635945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11766 VALLEYVIEW LN",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727129330",
            "telephone_number": "870-307-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012212",
            "telephone_number": "479-418-2297",
            "fax_number": "479-227-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "TERRAN",
        "middle_name": "ELIZABETH",
        "credential": "CPO, MSPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "AR",
            "license": "OPP00298",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "AR",
            "license": "OPP00298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "terrangates@gatesclinic.com",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1325 N Main St",
            "city": "Harrison",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726012212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Garbacz, QBHP
• Penny Lynn Garner, APRN
• Vicki Garriott, RN
• Laurel Nichole Gass, PLMSW
• Gates Prosthetics & Mobility Clinic Co
• Genesis Partners II
• Kathryn Gentry, SLPA
• Kim Gentry
• Christena Lynn George, SLP
• Tricia Lynnette George, MS,CCC-SLP

• Prosthetist in Harrison, AR
• Providers in Harrison, AR by specialty
• Prosthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.