Active NPI
Joseph Ernest Bates, PTA
- Physical Therapy Assistant
- Silverdale, WA
National Provider Identifier
1417760786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 60218303
- Practice address
- 10049 Kitsap Mall Blvd NW Ste 201
Silverdale, WA 98383-8901 - Phone
- (360) 373-6966
- NPI assigned
- Jan 30, 2025
- Last updated
- Jan 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 60218303 | WA | Primary |
Addresses
Primary practice location
10049 Kitsap Mall Blvd NW Ste 201
Silverdale, WA 98383-8901
Mailing address
10049 Kitsap Mall Blvd NW Ste 201
Silverdale, WA 98383-8901
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 |
|---|---|---|---|
| 60218303 | WA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Certified Healthcare Corp. | Current | Accepting new patients | |
| Centerwell Certified Healthcare Corp | Past | Accepting new patients |
Locations
10049 Kitsap Mall Blvd NW
Ste 201
Silverdale, WA 98383
Phone (360) 373-6966
Organizations & group practices 2
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.
-
dba CenterWell Home Health
- Home Health Agency
- Silverdale, WA
- NPI 1114958725
-
dba CenterWell Home Health
- Home Health Agency
- Avon, IN
- NPI 1972750859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1417760786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10049 KITSAP MALL BLVD NW STE 201",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10049 KITSAP MALL BLVD NW STE 201",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838901",
"telephone_number": "360-373-6966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "JOSEPH",
"middle_name": "ERNEST",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-30",
"last_updated": "2025-01-30",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "60218303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.