| Tracey Bates, | |
|
1778 Fountain Dr, Reston, VA 20190-3390 | |
| (571) 926-9398 | |
| Not Available |
| Full Name | Tracey Bates |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 17 Years |
| Location | 1778 Fountain Dr, Reston, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912310582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0119005224 (Virginia) | Secondary |
| 225X00000X | Occupational Therapist | 6423 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agilitas Usa, Inc | 3375454648 | 710 |
| Provider Name | Agilitas Usa, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20120523000672 |
| Provider Name | Benchmark Physical Therapy Of Alabama, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659642916 PECOS PAC ID: 5698930444 Enrollment ID: O20120629000400 |
| Provider Name | Drayer Physical Therapy-alabama, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023440583 PECOS PAC ID: 5395970560 Enrollment ID: O20150417000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Bates, 579 Legacy Pride Dr, Herndon, VA 20170-5041 Ph: () - | Tracey Bates, 1778 Fountain Dr, Reston, VA 20190-3390 Ph: (571) 926-9398 |
Bernard James Gamiao, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-689-9000 | |
Paige Gentile, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1778 Fountain Dr, Reston, VA 20190 Phone: 703-956-8930 | |
Laura Lynn Peritore, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1768 Business Center Dr Ste 330, Reston, VA 20190 Phone: 703-679-7837 | |
Sarah Yoder, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2222 Colts Neck Rd, Reston, VA 20191 Phone: 703-429-1130 | |
Deepa Laxmi Shrestha, OTR L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 12052 N Shore Dr, Reston, VA 20190 Phone: 703-707-0706 | |
Emily A. Courtney, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1860 Town Center Dr Ste 300, Reston, VA 20190 Phone: 571-307-4973 | |
Deshandria Hotchkiss, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12014 Waterside View Dr Apt 22, Reston, VA 20194 Phone: 804-721-9906 |