Gates Prosthetics & Mobility Clinic Co

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

GATES PROSTHETICS & MOBILITY CLINIC CO

Practice address

706 S Walton Blvd Ste 6
Bentonville, AR 72712-5751

Phone

(479) 418-2297

NPI assigned

Apr 9, 2024

Last updated

May 14, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

GATES PROSTHETICS & MOBILITY CLINIC COAs reported in NPPES

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

Authorized official

Name

Terran Elizabeth Gates, CPONPI 1013635945

Title

Owner, President

Phone

(870) 307-2174

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Gates Prosthetics & Mobility Clinic Co

  • Prosthetic/Orthotic Supplier
  • Harrison, AR
  • NPI 1528759545

  9739549858

  Same PAC ID
• Gates Prosthetics & Mobility Clinic Co

  • Prosthetic/Orthotic Supplier
  • Mountain Home, AR
  • NPI 1952155160

  9739549858

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Gates Prosthetics Mobility Clinic Co3 organizations share this tax ID, including this one

Part of

Gates Prosthetics Mobility Clinic Co

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Gates Prosthetics & Mobility Clinic Co

  • Prosthetic/Orthotic Supplier
  • Harrison, AR
  • NPI 1528759545
  NPD tax ID
• Gates Prosthetics & Mobility Clinic Co

  • Prosthetic/Orthotic Supplier
  • Mountain Home, AR
  • NPI 1952155160
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Gates Prosthetics & Mobility Clinic Co

  • Prosthetic/Orthotic Supplier
  • Harrison, AR
  • NPI 1528759545
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terran Elizabeth Gates, CPO, MSPO

  • Prosthetist
  • Harrison, AR
  • NPI 1013635945
  NPD (past) Authorized official

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1952154833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S WALTON BLVD STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125751",
            "telephone_number": "479-418-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S WALTON BLVD STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125751",
            "telephone_number": "479-418-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATES PROSTHETICS & MOBILITY CLINIC CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATES PROSTHETICS & MOBILITY CLINIC CO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "TERRAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "870-307-2174",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Garner
• Rachel Carlock Garrett, DPT
• Jordan Gartman
• Melanie Gartside, D.C.
• Brittney Gaston
• Katleen Nichelle Gause
• Kellye Gautier, LPC
• Ina Gavani
• Lena Jennette Geren
• Hailee Grace Gerner, DDS

• Prosthetic/Orthotic Supplier in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Prosthetic/Orthotic Supplier in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.