Provider Demographics
NPI:1639129687
Name:BATES, FRANK J (PT)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:BATES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:771 PILOT HOUSE DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-1990
Mailing Address - Country:US
Mailing Address - Phone:757-873-2302
Mailing Address - Fax:757-873-2306
Practice Address - Street 1:6161 KEMPSVILLE CIR
Practice Address - Street 2:SUITE 250
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3932
Practice Address - Country:US
Practice Address - Phone:757-965-4890
Practice Address - Fax:757-965-4893
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2305206845225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1639129687Medicaid
OH2485298Medicaid
VA192967OtherBCBS (PHYSICAL THERAPY)
OH2485298Medicaid
VA1639129687Medicaid