Tracey Bates, | |
1778 Fountain Dr, Reston, VA 20190-3390 | |
(571) 926-9398 | |
Not Available |
Full Name | Tracey Bates |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1778 Fountain Dr, Reston, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912310582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0119005224 (Virginia) | Secondary |
225X00000X | Occupational Therapist | 6423 (Alabama) | Primary |
Provider Name | Emory Physical Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776 |
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: Medicare Enrolled 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 | |
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 | |
Heather Gomez, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1800 Cameron Glen Dr, Reston, VA 20190 Phone: 703-834-5800 |