Individual provider Active NPI

Thomas William Yates, PT

  • Physical Therapist
  • Laurel, MD
National Provider Identifier
1821175365
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19310 Issued in MD
Practice address
14504 Greenview Dr Ste 106
Laurel, MD 20708-4224
Phone
(301) 776-3665
Fax
(301) 776-6669
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 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 19310 MD Primary

Addresses

Primary practice location

14504 Greenview Dr Ste 106
Laurel, MD 20708-4224

Mailing address

14504 Greenview Dr Ste 106
Laurel, MD 20708-4224
Phone (301) 776-3665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111213000651 DC Practitioner - Physical Therapist in Private Practice 8123930674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14504 Greenview Dr
Suite 106
Laurel, MD 20708-4224
Phone (301) 776-3665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Performance Physical Therapy, Inc Physical Therapist CurrentSince Jan 6, 2003 Accepting new patients
Maximum Performance Physical Therapy, Inc Physical Therapist CurrentSince Jan 6, 2003 Accepting new patients

Locations

14504 Greenview Dr
Ste 106
Laurel, MD 20708
Phone (301) 776-3665

14435 Cherry Lane Ct
Ste 100
Laurel, MD 20707
Phone (301) 776-3665

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1821175365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14504 GREENVIEW DR STE 106",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207084224",
            "telephone_number": "301-776-3665",
            "fax_number": "301-776-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14504 GREENVIEW DR STE 106",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207084224",
            "telephone_number": "301-776-3665",
            "fax_number": "301-776-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.