Patti S White, PTA

Key facts

NPI

1023217668

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapy Assistant 225200000X

Practice address

7 Turkey Farm Rd
Pine Grove, PA 17963-8010

Phone

(570) 345-6157

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2007.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1023217668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TURKEY FARM RD",
            "city": "PINE GROVE",
            "state": "PA",
            "postal_code": "179638010",
            "telephone_number": "570-345-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 TURKEY FARM RD",
            "city": "PINE GROVE",
            "state": "PA",
            "postal_code": "179638010",
            "telephone_number": "570-345-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "PATTI",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Grove, PA

• Tanya Marie Wagner, CRNP
• Anthony Walinsky, RPH
• Thomas G Watson, M.D.
• Alethea Lenore Wessner, O.D.
• West Schuylkill Physical Therapy Services, P.C.

All providers in Pine Grove, PA · Physical Therapy Assistant in Pennsylvania