Active NPI
Jeffrey Brian Bates, DPT
- Physical Therapist
- Havre de Grace, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24086
- 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, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
Enrollment records 2
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
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 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24086 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | 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.
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DC, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Physical Therapist
- Ellicott City, MD
- NPI 1285882670
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.