Individual provider Active NPI

Ty Bates

  • Physical Therapist
  • Largo, FL
National Provider Identifier
1619578564
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36509 Issued in FL
Practice address
14280 Walsingham Rd
Largo, FL 33774-3231
Phone
(727) 596-2101
NPI assigned
Nov 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 PT36509 FL Primary

Addresses

Primary practice location

14280 Walsingham Rd
Largo, FL 33774-3231

Mailing address

14280 Walsingham Rd
Largo, FL 33774-3231

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210331000951 FL Practitioner - Physical Therapist in Private Practice 5294142642 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Physical Therapy and Wellness IncGroup PAC ID 5294787735, 8 clinicians

Practice addresses (Care Compare)

13777 Belcher Rd S
Largo, FL 33771-4096
Phone (727) 532-1900

14280 Walsingham Rd
Largo, FL 33774-3231
Phone (727) 596-2101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physical Therapy and Wellness Inc Physical Therapist CurrentSince Dec 30, 2020 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 24, 2024 Accepting new patients
Physiotherapy Plus Inc Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

14280 Walsingham Rd
Largo, FL 33774
Phone (727) 596-2101

13777 Belcher Rd S
Largo, FL 33771
Phone (727) 532-1900

1603 S Hiawassee Rd
Ste 105
Orlando, FL 32835
Phone (407) 293-2150

6388 Silver Star Rd
Ste 1E
Orlando, FL 32818
Phone (321) 332-2689

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1619578564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14280 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14280 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743231",
            "telephone_number": "727-596-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "TY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.