Individual provider Active NPI

Leah Miller White

  • Physical Therapist
  • New Boston, TX
National Provider Identifier
1013578871
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1316121 Issued in TX
Practice address
303 N Center St
New Boston, TX 75570-2918
Phone
(903) 628-7700
Fax
(903) 628-7701
NPI assigned
Jun 24, 2019
Last updated
Jun 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1316121 TX Primary

Addresses

Primary practice location

303 N Center St
New Boston, TX 75570-2918

Mailing address

PO Box 56
Cookville, TX 75558-0056
Phone (903) 628-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906000667 TX Practitioner - Physical Therapist in Private Practice 7618206277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Pleasant Physical Therapy PCGroup PAC ID 7315985694, 10 clinicians

Practice addresses (Care Compare)

303 N Ctr St
New Boston, TX 75570-2918
Phone (903) 628-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1316121TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Pleasant Physical Therapy PC Physical Therapist CurrentSince Apr 4, 2019 Accepting new patients

Locations

203 E Front St
De Kalb, TX 75559
Phone (903) 667-7000

303 N Center St
New Boston, TX 75570
Phone (903) 577-3700

5416 Plaza Dr
Texarkana, TX 75503
Phone (903) 791-0333

600 N Kings Hwy
Ste 2
Wake Village, TX 75501
Phone (903) 794-0055

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1013578871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "COOKVILLE",
            "state": "TX",
            "postal_code": "755580056",
            "telephone_number": "903-628-7700",
            "fax_number": "903-628-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CENTER ST",
            "city": "NEW BOSTON",
            "state": "TX",
            "postal_code": "755702918",
            "telephone_number": "903-628-7700",
            "fax_number": "903-628-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LEAH",
        "middle_name": "MILLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1316121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Boston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.