Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maya Talise Wilson Bates, PT, DPT

Individual provider Physical Therapist · NPI 1689414906

Maya Talise Wilson Bates, PT, DPT is a Physical Therapist in Private Practice in Fayetteville, Arkansas. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2668 E Citizens Dr Ste 5
Fayetteville, AR 72703-4796
Phone: (479) 442-7473
Fax: (479) 239-5444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5456 (AR)

Record details

NPI number1689414906
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedMay 27, 2024
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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