Brooks L White, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA3945 Issued in AR

Practice address

4155 N Steele Blvd Ste 80
Fayetteville, AR 72703-5394

Phone

(479) 422-9404

Fax

(479) 439-4641

NPI assigned

Dec 10, 2018

Last updated

Dec 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bridges Therapy Group, PLLC

  • Pediatric Physical Therapist
  • Fayetteville, AR
  • NPI 1023501103

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1033680590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 N STEELE BLVD STE 80",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035394",
            "telephone_number": "479-422-9404",
            "fax_number": "479-439-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 N STEELE BLVD STE 80",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035394",
            "telephone_number": "479-422-9404",
            "fax_number": "479-439-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "BROOKS",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA3945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Wheelington, PHD
• Amanda Wherry, OTR L
• Christy Cox Whillock, MSN,APRN,FNP-C
• Lyndsey Whitaker, APRN
• Anna Marie White, PHYSICIAN ASSISTANT
• Cale McArthur White, MD
• Colin Spencer White, DPT
• Justin White, DDS
• Steven W Whitelaw, DC, CCSP
• Thomas Whiteside, M.D.

• Physical Therapy Assistant in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.