Individual provider Active NPI

Sandy Bates

  • Occupational Therapist
  • Port Isabel, TX
National Provider Identifier
1205181369
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
114874 Issued in TX
Practice address
112 W Queen Isabella
Port Isabel, TX 78578
Phone
(361) 552-0195
Fax
(956) 443-3470
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 114874 TX Primary

Addresses

Primary practice location

112 W Queen Isabella
Port Isabel, TX 78578

Mailing address

112 W Queen Isabella
Port Isabel, TX 78578-2969
Phone (361) 552-0195

Other practice location 1

871 Old Alice Rd
suite 600
Brownsville, TX 78520-8268
Phone (956) 541-2102

Other identifiers 1

IdentifierTypeStateIssuer
114874OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Rehab Services Inc Occupational Therapist Past Accepting new patients
Mercy Rehab Services Inc. Past Accepting new patients
Paradise Physical Therapy PastSince Oct 30, 2017 Accepting new patients

Organizations & group practices 3

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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1205181369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W QUEEN ISABELLA",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782969",
            "telephone_number": "361-552-0195",
            "fax_number": "956-443-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W QUEEN ISABELLA",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "78578",
            "telephone_number": "361-552-0195",
            "fax_number": "956-443-3470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 Old Alice Rd",
            "address_2": "suite 600",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785208268",
            "country_code": "US",
            "telephone_number": "956-541-2102",
            "fax_number": "956-541-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "SANDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "114874",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Isabel, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.