Individual provider Active NPI

Victoria Bates, DPT

  • Physical Medicine & Rehabilitation Physician
  • Hilton Head Island, SC
National Provider Identifier
1912674813
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT.10887 Issued in SC
Practice address
801 Lemon Grass CT
Hilton Head Island, SC 29928-3022
Phone
(843) 341-7311
NPI assigned
Aug 27, 2021
Last updated
Aug 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT.10887 SC Primary

Addresses

Primary practice location

801 Lemon Grass CT
Hilton Head Island, SC 29928-3022

Mailing address

1515 Benton Blvd Apt 2025
Savannah, GA 31407-0447
Phone (912) 327-2252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250227003100 GA Practitioner - Physical Therapist in Private Practice 7113447525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympia Innovations LLCGroup PAC ID 0244688604, 13 clinicians

Practice addresses (Care Compare)

322 Commercial Dr
Suite a
Savannah, GA 31406-3625
Phone (912) 499-0836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.10887SCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Innovations LLC CurrentSince Jan 3, 2025 Accepting new patients
Flint River Physical Therapy LLC CurrentSince Jan 3, 2025 Accepting new patients

Locations

322 Commercial Dr
Ste A
Savannah, GA 31406
Phone (843) 969-1000

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, 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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1912674813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 BENTON BLVD APT 2025",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314070447",
            "telephone_number": "912-327-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 LEMON GRASS CT",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283022",
            "telephone_number": "843-341-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "PT.10887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.