Dan E. Bates, PT
Individual provider Active NPI Physical Therapist · Ferndale, WA
NPI 1124177290 · NPPES record last updated Oct 23, 2007
Key facts
- NPI
- 1124177290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT00006303 (WA)
- Practice address
- 1740 Labounty Dr Ste 7
Ferndale, WA 98248-9403 - Phone
- (360) 380-7336
- Fax
- (360) 380-7310
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120215000315 | WA | Practitioner - Physical Therapist in Private Practice | 4284525676 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capstone Health Services Inc. | Physical Therapist | Past | Accepting new patients |
| Capstone Health Services Inc. | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00006303 | WA | Yes |
Addresses
Primary practice location
1740 Labounty Dr Ste 7
Ferndale, WA 98248-9403
Mailing address
1740 Labounty Dr Ste 7
Ferndale, WA 98248-9403
Phone (360) 380-7336
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8335275 | Medicaid | WA |
Other providers in Ferndale, WA
- Sunita Ann Bangah
- Amanda Jane Barnett
- Timothy Barron
- Bobbie Bartholomew
- Sandra Olivia Bartle
- Jennifer A Bates
- Kimberley A Bauer
- Aimee Christine Bean
- Summer Beattie
- Amber Bellamy
All providers in Ferndale, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.