Charles Matthew Bass, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201005046 Issued in MI

Practice address

4421 W Main St
Midland, MI 48640-2304

Phone

(989) 832-9026

NPI assigned

Apr 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Deer Run Rehabilitation Inc

  • Physical Medicine & Rehabilitation Physician
  • Midland, MI
  • NPI 1093299901
  Medicare reassignment NPD

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1063685949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 W BROOKS RD",
            "city": "BRECKENRIDGE",
            "state": "MI",
            "postal_code": "486159646",
            "telephone_number": "989-615-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 W MAIN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402304",
            "telephone_number": "989-832-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "CHARLES",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Stephen Bartels, M.S.
• Heather Bartlett
• Michael P Bartlett, MD
• Richard Peter Bartling, D.D.S., F.R.C.D.C.
• James Barto
• Beau Thomas Bateson
• Andrew M Baudo, M.D.
• Bauer Rehab Services II, LLC
• Bauer Rehabilitation Services LLC
• Bauer Rehabilitation Services, LLC

• Occupational Therapist in Midland, MI
• Providers in Midland, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.