Gates Prosthetics & Mobility Clinic Co

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

GATES PROSTHETICS & MOBILITY CLINIC CO

Practice address

108 Dyer St
Mountain Home, AR 72653

Phone

(479) 418-2297

NPI assigned

Apr 15, 2024

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

President, Owner

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
  • Bentonville, AR
  • NPI 1952154833

  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
  • Bentonville, AR
  • NPI 1952154833
  NPD tax ID

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.

• 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": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1952155160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DYER ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "479-418-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DYER ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "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": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "TERRAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "870-307-2174",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Kyle Garretson, D.C.
• Traci Renee Garringer, LCSW
• Gary B Wells MD PA
• Gary B Wells MD, PLLC
• Isaac Gaston, APRN
• Heather Nichole Gavette, AT
• General Orthopaedics, PA
• Larry Trey George, COTA
• Erin Danielle Geyer, LCSW
• Jenna Katheryn Gilbert, RN

• Prosthetic/Orthotic Supplier in Mountain Home, AR
• Providers in Mountain Home, 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 Apr 15, 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.