Individual provider Active NPI

Adam J Bates, P.T., D.P.T

  • Physical Therapist
  • Massapequa, NY
National Provider Identifier
1407379407
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P07096 Issued in NY
Practice address
5700 Merrick Rd
Massapequa, NY 11758-6221
Phone
15167989605
NPI assigned
Jul 21, 2017
Last updated
Jul 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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 P07096 NY Primary

Addresses

Primary practice location

5700 Merrick Rd
Massapequa, NY 11758-6221

Mailing address

5700 Merrick Rd
Massapequa, NY 11758-6221
Phone (516) 798-9605

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180504000680 NY Practitioner - Physical Therapist in Private Practice 7012271703 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soundside Physical Therapy PCGroup PAC ID 8527958164, 6 clinicians

Practice addresses (Care Compare)

146 Birch Hill Rd
Locust Valley, NY 11560-1833
Phone (516) 759-9717

Merit-based Incentive Payment System (MIPS)

Final score
93.39 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042613NYMDGeneral Practice Dentistry
P07096NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soundside Physical Therapy P.C. Physical Therapist CurrentSince Nov 26, 2018 Accepting new patients
William J. Schwarz, P.T., P.C. CurrentSince Feb 26, 2018 Accepting new patients

Locations

146 Birch Hill Rd
Locust Valley, NY 11560
Phone (516) 723-9305

5700 Merrick Rd
Massapequa, NY 11758
Phone (516) 798-9605

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1407379407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586221",
            "telephone_number": "15167989605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586221",
            "telephone_number": "15167989605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "ADAM",
        "middle_name": "J",
        "credential": "P.T., D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "P07096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.