Icleia Nyari Bates, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA 12314 Issued in FL

Practice address

10368 Panama St
Hollywood, FL 33026-4529

Phone

(954) 821-3547

NPI assigned

Dec 21, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1387584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387584000000",
    "number": "1427479286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10368 PANAMA ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10368 PANAMA ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264529",
            "telephone_number": "954-821-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "ICLEIA",
        "middle_name": "NYARI",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-21",
        "last_updated": "2013-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA 12314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Michael Bassan, M.D.
• Bassel Ibrahim MD PA
• Der'Resha Kayla Bastien, LMHC
• Roudelyne Bastien
• Selina Batchanoo, PA-C
• Dariscel Batista Perez
• Eduardo Batista, P.A.
• Amber Batzold, PHARMD
• Craig Ira Bauer, DC
• Wendy Rachel Bayless

• Occupational Therapy Assistant in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Occupational Therapy Assistant in Florida

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

Verify at the official NPI Registry.