Matt Charles Cassidy Bates, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P14489 Issued in NC

Practice address

1803 Forest Hills Rd W
Wilson, NC 27893-3412

Phone

(252) 243-9629

Fax

(919) 313-1276

NPI assigned

Aug 8, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

West Virginia University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DPT IncGroup PAC ID 4385952100, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• DPT, Inc

  • Physical Therapy Clinic/Center
  • Charleston, WV
  • NPI 1932580065

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Dynamic Physical Therapy and Hand Center, LLC

  • Physical Therapist
  • Charleston, WV
  • NPI 1780781971
  NPD (past)

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1104173285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042320",
            "telephone_number": "304-720-5433",
            "fax_number": "304-720-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 FOREST HILLS RD W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933412",
            "telephone_number": "252-243-9629",
            "fax_number": "919-313-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "MATT",
        "middle_name": "CHARLES CASSIDY",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-08",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "P14489",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barnes Family Care
• Samuel Barnes, CPO
• Torrasa Te-Andre' Barnes
• Christine A Barton, MD
• Alexander Grey Bass, LCMHC
• Dominique Battle, COTA/L
• Emoni' Jameece Battle, MSW,QP,LCSWA
• Amanda Batts
• Brenda Batts
• Jerry Lynn Beamon

• Physical Therapist in Wilson, NC
• Providers in Wilson, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.