Active NPI
Michelle White
- Physical Therapist
- Denison, TX
National Provider Identifier
1053785824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1258286
- Practice address
- 5012 S US Highway 75
Ste 120
Denison, TX 75020-4587 - Phone
- (903) 465-2190
- Fax
- (888) 491-5615
- NPI assigned
- Nov 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1258286 | TX | Primary |
Addresses
Primary practice location
5012 S US Highway 75
Ste 120
Denison, TX 75020-4587
Mailing address
5012 S US Highway 75
Ste 120
Denison, TX 75020-4587
Phone (903) 465-2190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1258286 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1053785824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 S US HIGHWAY 75",
"address_2": "STE 120",
"city": "DENISON",
"state": "TX",
"postal_code": "750204587",
"telephone_number": "903-465-2190",
"fax_number": "888-491-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5012 S US HIGHWAY 75",
"address_2": "STE 120",
"city": "DENISON",
"state": "TX",
"postal_code": "750204587",
"telephone_number": "903-465-2190",
"fax_number": "888-491-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1258286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.