Active NPI
Eric Monroe Pate, MPT
- Physical Therapist
- Bentonville, AR
National Provider Identifier
1457594269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2283
- Practice address
- 2618 SE J St Ste 6
Bentonville, AR 72712-3857 - Phone
- (479) 903-3900
- Fax
- (479) 254-8112
- NPI assigned
- Apr 8, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2283 | AR | Primary |
Addresses
Primary practice location
2618 SE J St Ste 6
Bentonville, AR 72712-3857
Mailing address
2618 SE J St Ste 6
Bentonville, AR 72712-3857
Phone (479) 903-3900
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 |
|---|---|---|---|
| 2283 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yamileth Montoya Pate DDS PLLC | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Bentonville, AR
- NPI 1154490076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1457594269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2618 SE J ST STE 6",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123857",
"telephone_number": "479-903-3900",
"fax_number": "479-254-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2618 SE J ST STE 6",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123857",
"telephone_number": "479-903-3900",
"fax_number": "479-254-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE",
"first_name": "ERIC",
"middle_name": "MONROE",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-08",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "2283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.