Individual provider Active NPI

Michael P Bates, PT CCM

  • Physical Therapist
  • Beckley, WV
National Provider Identifier
1154315216
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001179 Issued in WV
Practice address
9 Yellow Wood Way
Beckley, WV 25801-7126
Phone
(304) 255-2376
Fax
(304) 255-7120
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 001179 WV Primary

Addresses

Primary practice location

9 Yellow Wood Way
Beckley, WV 25801-7126

Mailing address

9 Yellow Wood Way
Beckley, WV 25801-7126
Phone (304) 255-2376

Other practice location 1

5722 Cabin Creek Rd
Dawes, WV 25054-7700
Phone (304) 595-5006

Other identifiers 6

IdentifierTypeStateIssuer
001710560OtherWVBCBS
7041257OtherWVAETNA
0157003000MedicaidWV
P00103347OtherWVRAIL ROAD MEDICARE
1516805OtherWVUMWA
55074417400OtherWVWORKERS COMP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111102000246 WV Practitioner - Physical Therapist in Private Practice 9537144266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

309 Courthouse Rd
Princeton, WV 24740-2421
Phone (304) 252-6999

3942 Davis Stuart Rd
Suite 3
Ronceverte, WV 24970-0269
Phone (304) 647-3987

497 Oak Mall Rd B
Oak Hill, WV 25901-6115
Phone (800) 699-9395

9 Yellow Wood Way
Beckley, WV 25801-7126
Phone (304) 255-2376

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
71.18
Promoting interoperability
92
Improvement activities
40
Cost
79.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001179WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cabin Creek Health Center, Inc. CurrentSince Mar 14, 2019 Accepting new patients
Greenbrier Valley Physical Therapy, LLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Cabin Creek Health Center, Inc. CurrentSince Mar 14, 2019 Accepting new patients
Cabin Creek Health Center, Inc. Current Accepting new patients
Greenbrier Valley Physical Therapy LLC CurrentSince Dec 1, 2021 Accepting new patients
Greenbrier Valley Physical Therapy, LLC Physical Therapist Current Accepting new patients
Greenbrier Valley Physical Therapy, LLC Past Accepting new patients

Locations

9 Yellow Wood Way
Beckley, WV 25801
Phone (304) 250-6047

107 Koontz Ave
Ste 200
Clendenin, WV 25045
Phone (304) 548-7272

497 Mall Rd
Unit B
Oak Hill, WV 25901

3942 Davis Stuart Rd
Ste 3
Ronceverte, WV 24970
Phone (304) 647-3987

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1154315216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 YELLOW WOOD WAY",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017126",
            "telephone_number": "304-255-2376",
            "fax_number": "304-255-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 YELLOW WOOD WAY",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017126",
            "telephone_number": "304-255-2376",
            "fax_number": "304-255-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5722 Cabin Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Dawes",
            "state": "WV",
            "postal_code": "250547700",
            "country_code": "US",
            "telephone_number": "304-595-5006",
            "fax_number": "304-595-5007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "PT CCM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001710560",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7041257",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157003000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00103347",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1516805",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "55074417400",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.