Individual provider Active NPI

Jacqueline Ann White, DPT

  • Physical Therapist
  • Jupiter, FL
National Provider Identifier
1073189619
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40368 Issued in FL
Practice address
2055 Military TRL Ste 200
Jupiter, FL 33458-7830
Phone
(561) 694-7776
Fax
(561) 694-3099
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT40368 FL Primary

Addresses

Primary practice location

2055 Military TRL Ste 200
Jupiter, FL 33458-7830

Mailing address

4215 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4625
Phone (561) 694-7776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210630003798 TN Practitioner - Physical Therapist in Private Practice 0547661340 Reassigns benefits to 2 organizations
I20231031003517 FL Practitioner - Physical Therapist in Private Practice 0547661340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2055 Military TRL
Suite 200
Jupiter, FL 33458-7830
Phone (561) 694-7776

Merit-based Incentive Payment System (MIPS)

Final score
73.56 of 100Reported as group
Quality
41.89
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Orthopaedic Institute PA CurrentSince Aug 21, 2023 Accepting new patients
Palm Beach Orthopaedic Institute PA CurrentSince Aug 21, 2023 Accepting new patients
Agilitas USA, Inc CurrentSince Oct 10, 2022 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Oct 10, 2022 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2055 Military Trl
Ste 200
Jupiter, FL 33458
Phone (561) 694-7777

4215 Burns Rd
Ste 200
Palm Beach Gardens, FL 33410

1411 N Flagler Dr
Ste 9800
West Palm Beach, FL 33401
Phone (561) 694-7778

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

612 Lyle St
Ste 118
Johnson City, TN 37604
Phone (423) 328-3156

806 E Jackson Blvd
Ste 15
Jonesborough, TN 37659
Phone (423) 753-2805

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13081/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jacqueline.white.1@13081.direct.athenahealth.com

Organizations & group practices 6

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1073189619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 BURNS RD STE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104625",
            "telephone_number": "561-694-7776",
            "fax_number": "561-694-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 MILITARY TRL STE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587830",
            "telephone_number": "561-694-7776",
            "fax_number": "561-694-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.