Benjamin Bates, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT20926 Issued in FL

Practice address

8254 118TH Ave
Largo, FL 33773-5017

Phone

(727) 541-5304

NPI assigned

Jan 2, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Miami Valley Tutoring Services, LTD.

  • Speech-Language Pathologist
  • Fairborn, OH
  • NPI 1578834461
  NPD (past)

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1679080410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13236 FAWN LILY DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335790008",
            "telephone_number": "937-681-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 118TH AVE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735017",
            "telephone_number": "727-541-5304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "919 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Fairborn",
            "state": "OH",
            "postal_code": "453243804",
            "country_code": "US",
            "telephone_number": "937-878-4614",
            "fax_number": "937-878-4719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "BENJAMIN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-02",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "15-04279",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT20926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED BEHAVIOR TECHNICIAN",
            "identifier": "15-04279",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khadija Basharat
• Alena Bashinskaya, DO
• Alexa J Basilio, PHARMD
• Mahi Basra, DO
• Brendon Alan Bass
• Ty Bates
• Carlyn Baticados
• Natasha Batra
• Kyla Baucom, RN, APRN
• Barbara Annette (G) Baugher, MSN-FNP-C

• Occupational Therapist in Largo, FL
• Providers in Largo, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.