Individual provider Active NPI

Rose Ann Bates I, P.T.

  • Physical Therapist
  • Belleville, IL
National Provider Identifier
1922314475
Registry record updated Aug 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.008071 Issued in IL
Practice address
40 N 64TH St
Belleville, IL 62223-3808
Phone
(618) 606-4099
NPI assigned
Aug 22, 2010
Last updated
Aug 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2010

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 070.008071 IL Primary

Addresses

Primary practice location

40 N 64TH St
Belleville, IL 62223-3808

Mailing address

631 Roosevelt Dr
Edwardsville, IL 62025-2454
Phone (765) 606-0078

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230607002339 IL Practitioner - Physical Therapist in Private Practice 6901263839 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Home by Enhance Therapies LLCGroup PAC ID 4183033210, 44 clinicians
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

100 Glenhaven Dr
Alton, IL 62002-6759
Phone (732) 994-3200

6960 State Route 162
Maryville, IL 62062-8522
Phone (618) 243-3596

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.008071ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince May 29, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC Physical Therapist CurrentSince May 23, 2023 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince May 23, 2023 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince May 23, 2023 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince May 23, 2023 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

7358 N Lincoln Ave
Ste 160
Lincolnwood, IL 60712
Phone (847) 983-8750

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

Organizations & group practices 7

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": "1282435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282435200000",
    "number": "1922314475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 ROOSEVELT DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252454",
            "telephone_number": "765-606-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N 64TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233808",
            "telephone_number": "618-606-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "ROSE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-22",
        "last_updated": "2010-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.008071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2010; 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.