Miranda Lee Bates, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2012028496 Issued in MO

Practice address

2166 N Westwood Blvd
Poplar Bluff, MO 63901-2440

Phone

(573) 712-2696

Fax

(573) 712-2991

NPI assigned

Sep 20, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mandy Pittman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Bizzee Kidz Therapy, LLC

  • Physical Therapist
  • Poplar Bluff, MO
  • NPI 1659686038

  Occupational Therapist

  NPD (past)
• Integrated Therapy Services LLC

  • Physical Therapist
  • Poplar Bluff, MO
  • NPI 1225459712
  NPD (past)

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1760733422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012440",
            "telephone_number": "573-712-2696",
            "fax_number": "573-712-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012440",
            "telephone_number": "573-712-2696",
            "fax_number": "573-712-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "MIRANDA",
        "middle_name": "LEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2012028496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "PITTMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Savannah Sue-Ann Barnett
• Craig M Barwick, MSW, LCSW
• Stephanie Michelle Bass, ATC/R
• Bijan Bastaninejad, M.D.
• Jonathan Richard Bates
• Jill Baugh, PT
• Jacob N Baugus, LCSW
• Hannah Marie Baxter
• Roderick O Baz, M.D.
• Jared Hunter Beaird, DDS

• Occupational Therapist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.