Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MR. MATT CHARLES CASSIDY BATES
Active
Individual
MR. MATT CHARLES CASSIDY BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P14489
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P14489
PT LICENSE NUMBER
NC
Enumeration date
08/08/2012
Last updated
12/08/2017
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