Individual provider Active NPI

Winfield A White, OTR

  • Occupational Therapist
  • Suitland, MD
National Provider Identifier
1053430694
Registry record updated Oct 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
03540 Issued in MD
Practice address
5625 Allentown Rd
Ste 200
Suitland, MD 20746-4521
Phone
(301) 520-9376
Fax
(301) 203-8530
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT701 DC
Occupational Therapist 225X00000X 03540 MD Primary

Addresses

Primary practice location

5625 Allentown Rd
Ste 200
Suitland, MD 20746-4521

Mailing address

5625 Allentown Rd Ste 200
Suitland, MD 20746-4521
Phone (301) 520-9376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110720000431 DC Practitioner - Occupational Therapist in Private Practice 1355519257 Reassigns benefits to 1 organization
Practice locations: Accokeek, MD

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Associates, LLCGroup PAC ID 9931529864, 2 clinicians

Practice addresses (Care Compare)

5625 Allentown Rd
Suite 200
Suitland, MD 20746-4521
Phone (301) 520-9376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03540MDMDCounseling Psychologist
OT701DCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Associates, LLC Occupational Therapist CurrentSince Jul 7, 2020 Accepting new patients

Locations

5625 Allentown Rd
Ste 200
Suitland, MD 20746
Phone (301) 241-0285

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1053430694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 ALLENTOWN RD STE 200",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464521",
            "telephone_number": "301-520-9376",
            "fax_number": "301-203-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 ALLENTOWN RD",
            "address_2": "STE 200",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464521",
            "telephone_number": "301-520-9376",
            "fax_number": "301-203-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "WINFIELD",
        "middle_name": "A",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT701",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "03540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suitland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2024; 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.