Active NPI
Carla JV Bates, DPT
- Physical Therapist
- Wayland, MA
National Provider Identifier
1982816781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17888
- Practice address
- 524 Boston Post Rd
Wayland, MA 01778-1833 - Phone
- (508) 358-4900
- Fax
- (508) 358-3525
- NPI assigned
- May 4, 2007
- Last updated
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17888 | MA | Primary |
Addresses
Primary practice location
524 Boston Post Rd
Wayland, MA 01778-1833
Mailing address
524 Boston Post Rd
Wayland, MA 01778-1833
Phone (508) 358-4900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17888 | Other | MA | STATE LICENCE |
| 000087601 | Other | MA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1982816781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 BOSTON POST RD",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017781833",
"telephone_number": "508-358-4900",
"fax_number": "508-358-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 BOSTON POST RD",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017781833",
"telephone_number": "508-358-4900",
"fax_number": "508-358-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "CARLA",
"middle_name": "JV",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "17888",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "000087601",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wayland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.