Andrew White

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160839363 Issued in WA

Practice address

312 Millbury Ave
Millbury, MA 01527-3622

Phone

(508) 793-0088

NPI assigned

Jun 14, 2017

Last updated

Sep 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1073043774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7542 COUNTY ROAD 17",
            "city": "BELFAST",
            "state": "NY",
            "postal_code": "147118628",
            "telephone_number": "585-738-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MILLBURY AVE",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015273622",
            "telephone_number": "508-793-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "010886",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160839363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Wall
• Kurt Walter, COUNSELOR
• Benjamin Wang, MD
• Warby Parker Inc.
• Mary K. Wendel, MD
• Cheryl Susan Whitney, LMHC
• Kerry Wilkins, M.D.
• William J Fredericks Jr (Allcare Medical Supply)
• Worcester Counseling Collective LLC
• Myrna Zohni, D.M.D.

• Physical Therapy Assistant in Millbury, MA
• Providers in Millbury, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.