Individual provider Active NPI

Thomas P. Bates, PT,MS,CERT. MDT

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1407919590
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2450 Issued in AR
Practice address
1601 Aldersgate Rd
Suite D-4
Little Rock, AR 72205-6613
Phone
(501) 687-0851
Fax
(501) 687-0853
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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 2450 AR Primary

Addresses

Primary practice location

1601 Aldersgate Rd
Suite D-4
Little Rock, AR 72205-6613

Mailing address

1601 Aldersgate Rd
Little Rock, AR 72205-6613
Phone (501) 796-3240

Other identifiers 2

IdentifierTypeStateIssuer
156654721MedicaidAR
5X452OtherARBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000713 AR Practitioner - Physical Therapist in Private Practice 9739128471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VTS Inc.Group PAC ID 1658621693, 4 clinicians

Practice addresses (Care Compare)

1070 Main St
Vilonia, AR 72173-9522
Phone (501) 796-3240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2450ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
VTS Inc Physical Therapist CurrentSince Sep 1, 2018 Accepting new patients

Locations

1070 Main St
Vilonia, AR 72173
Phone (501) 796-3240

Organizations & group practices 1

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1407919590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ALDERSGATE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056613",
            "telephone_number": "501-796-3240",
            "fax_number": "501-796-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ALDERSGATE RD",
            "address_2": "SUITE D-4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056613",
            "telephone_number": "501-687-0851",
            "fax_number": "501-687-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "THOMAS",
        "middle_name": "P.",
        "credential": "PT,MS,CERT. MDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156654721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5X452",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.