Jazz Taylor White, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

009039 Issued in AZ

Practice address

13385 W McDowell Rd
Goodyear, AZ 85395-2631

Phone

(623) 986-5110

NPI assigned

Jan 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1023724085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 S 186TH AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387974",
            "telephone_number": "801-649-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13385 W MCDOWELL RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952631",
            "telephone_number": "623-986-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JAZZ",
        "middle_name": "TAYLOR",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "009039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "36052364",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jazz@thewellnesscenter.org",
            "affiliation": "Y",
            "endpointDescription": "Business Email",
            "affiliationName": "The Wellness Center",
            "address_1": "13385 W McDowell Rd",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853952631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Devin Talmage Whipple, OD
• White Tanks Physical Therapy & Ortho Rehab
• White Tanks Physical Therapy and Orthopedic Rehabilitation LLC
• Casey J White, DMD
• Crystal N White, MHCA
• Samantha White
• Robert P Whitehead, MD
• Cheryl Lea Whiting
• Aimee Benton Wickersham, LCSW
• Erich A Widemark, PHD, FNP-BC

• Occupational Therapist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.