Active NPI
Kris Duane Bates, C.P.T., L.P.T.A.
- Physical Therapy Assistant
- Duluth, MN
National Provider Identifier
1316376213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A358
- Practice address
- 515 Glenwood St
Duluth, MN 55803-2106 - Phone
- (218) 340-8714
- NPI assigned
- Nov 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A358 | MN | Primary |
| Massage Therapist | 225700000X | 5934 | TX |
Addresses
Primary practice location
515 Glenwood St
Duluth, MN 55803-2106
Mailing address
515 Glenwood St
Duluth, MN 55803-2106
Phone (218) 340-8714
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A358 | MN | MD | Physical Therapy Assistant |
| 5934 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383264000000",
"number": "1316376213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 GLENWOOD ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558032106",
"telephone_number": "218-340-8714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 GLENWOOD ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558032106",
"telephone_number": "218-340-8714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "KRIS",
"middle_name": "DUANE",
"name_prefix": "Mr.",
"credential": "C.P.T., L.P.T.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-01",
"last_updated": "2013-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MN",
"license": "A358",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "5934",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.