Individual provider Active NPI

Jeffrey Brian Bates, DPT

  • Physical Therapist
  • Havre de Grace, MD
National Provider Identifier
1881949246
Registry record updated Jun 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24086 Issued in MD
Practice address
251 Lewis LN Ste 104
Havre de Grace, MD 21078-3752
Phone
(410) 939-8530
Fax
(410) 939-8534
NPI assigned
Jul 20, 2012
Last updated
Jun 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2015

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 24086 MD Primary

Addresses

Primary practice location

251 Lewis LN Ste 104
Havre de Grace, MD 21078-3752

Mailing address

790 Remington Blvd
Suite 19
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120914000642 MD Practitioner - Physical Therapist in Private Practice 0042468175 Reassigns benefits to 2 organizations
I20200414001903 DC Practitioner - Physical Therapist in Private Practice 0042468175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

251 Lewis LN
Suite 104
Havre de Grace, MD 21078-3752
Phone (410) 939-8530

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24086MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 4, 2015 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 4, 2015 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

790 Remington Blvd
Ste 19
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

3465 Box Hill Corporate Center Dr
Ste G
Abingdon, MD 21009
Phone (410) 569-4806

3491 Merchants Blvd
Ste 108
Abingdon, MD 21009
Phone (443) 625-5370

2021A Emmorton Rd
Ste 110
Bel Air, MD 21015
Phone (410) 515-0006

225 Brierhill Dr
Ste A
Bel Air, MD 21015
Phone (667) 276-3093

1321 Riverside Pkwy
Ste A2
Belcamp, MD 21017
Phone (443) 760-3971

137 W High St
Ste 3
Elkton, MD 21921
Phone (410) 392-7027

2315 Bel Air Rd
Ste C3
Fallston, MD 21047
Phone (443) 417-2499

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

251 Lewis Ln
Ste 104
Havre de Grace, MD 21078
Phone (410) 939-8530

2314 Pulaski Hwy
#A
North East, MD 21901
Phone (410) 287-2940

4853 Pulaski Hwy
Ste 315
Perryville, MD 21903
Phone (443) 693-8000

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433548800000",
    "number": "1881949246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "address_2": "SUITE 19",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LEWIS LN STE 104",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783752",
            "telephone_number": "410-939-8530",
            "fax_number": "410-939-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "JEFFREY",
        "middle_name": "BRIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2015-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2015; 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.