Breanne Bates, OTD, OTR/L
Individual provider Active NPI Occupational Therapist · Sylvania, OH
NPI 1306231055 · NPPES record last updated Aug 3, 2026
Key facts
- NPI
- 1306231055
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 006980 (OH)
- Practice address
- 4121 King Rd
Sylvania, OH 43560-4438 - Phone
- (419) 517-8200
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2662 Beth Ann CT
Lambertville, MI 48144-9495
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006980 | OH | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 006980 | OH | Yes |
| Occupational Therapist | 225X00000X | 5201014687 | MI |
Addresses
Primary practice location
4121 King Rd
Sylvania, OH 43560-4438
Mailing address
4121 King Rd
Sylvania, OH 43560-4438
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006980 | Medicaid | OH |
Other providers in Sylvania, OH
- Amy McCahan Barricklow
- Brad D. Barricklow
- Trista Ann Barros
- Beth Barrow
- Michael H Basista
- Barbara Bauer
- Marge Baum
- Jordanne Baumgartner
- Ellen Lee Baxter
- Jonathan Gage Beaber
All providers in Sylvania, OH · Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.