Douglas L Bates, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0939 Issued in MS

Practice address

2210B Mill Street Ext
Lucedale, MS 39452-6064

Phone

(601) 947-9005

Fax

(601) 947-9007

NPI assigned

Jul 19, 2006

Last updated

Mar 31, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Encore Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1033218524

  MS, Physical Therapist

  Medicare reassignment NPD
• Encore Rehabilitation, Inc.

  dba Encore Coast Hand Therapy

  • Occupational Medicine Clinic/Center
  • Gulfport, MS
  • NPI 1437962313

  Physical Therapist

  NPD
• Encore Rehabilitation, Inc.

  dba Encore Rehab of Biloxi

  • Physical Therapy Clinic/Center
  • Biloxi, MS
  • NPI 1720221195

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1730108655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8419",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395358087",
            "telephone_number": "228-388-5714",
            "fax_number": "228-388-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210B MILL STREET EXT",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526064",
            "telephone_number": "601-947-9005",
            "fax_number": "601-947-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT0939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015077",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1033218524",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura R Ansley, OT
• William Scott Ash, DDS
• Ashley V. McArthur DMD PC
• Mary Elizabeth Barlow, PHD
• Natoya Barnett-Grindley, MD
• Benndale Elementary School
• Frances Fallon Bennett, OTR
• Bienville Orthopaedic Specialists LLC
• Rosemary M Bishop, BS
• Christopher Shane Blomberg, MD, MS

• Physical Therapist in Lucedale, MS
• Providers in Lucedale, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.