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

Individual provider Occupational Therapist · NPI 1912310582

Tracey Bates is an Occupational Therapist in Private Practice in Reston, Virginia. Qualified in 2009, 17 years ago. Practices with Agilitas USA, Inc, a 810-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and Virginia.

Years since qualifying
17
Licensed in
AL, VA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1778 Fountain Dr
Reston, VA 20190-3390
Phone: (571) 926-9398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3654 Airport Blvd Ste H, Mobile, AL 36608-1616 — (251) 544-1050

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6423 (AL)
Occupational Therapist Taxonomy 225X00000X · Licence 0119005224 (VA)

Record details

NPI number1912310582
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2014
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address579 Legacy Pride Dr, Herndon, VA 20170-5041

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Reston