Amy Bates, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

203689 Issued in OK

Practice address

12018 S Elm St Ste 111
Jenks, OK 74037-3653

Phone

(918) 404-5066

Fax

(918) 296-7121

NPI assigned

Apr 7, 2021

Last updated

Apr 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Spot for Kids

  • Speech-Language Pathologist
  • Broken Arrow, OK
  • NPI 1851715395
  NPD (past)

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1962081786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12018 S ELM ST STE 111",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12018 S ELM ST STE 111",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373653",
            "telephone_number": "918-404-5066",
            "fax_number": "918-296-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "AMY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "203689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.thespotforkids.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "12018 S Elm St Ste 111",
            "city": "Jenks",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740373653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Haley L Baldridge, OD
• Jeffery Baldridge918
• Amairanie Baltazar
• Victoria Barbee
• Brian Nelson Barnes
• Malexa Saepharn Batin
• Be Well Medical LLC
• Beair Medical Group, PLLC
• Lordly Beard
• Delany Beasley

• Physical Therapy Assistant in Jenks, OK
• Providers in Jenks, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.