Individual provider Active NPI

Ardis White

  • Physical Therapist
  • Coppell, TX
National Provider Identifier
1073499323
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6176 Issued in SD
Practice address
3100 Olympus Blvd
Coppell, TX 75019-5472
Phone
(800) 521-5060
NPI assigned
Aug 13, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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 6176 SD Primary

Addresses

Primary practice location

3100 Olympus Blvd
Coppell, TX 75019-5472

Mailing address

3100 Olympus Blvd
Coppell, TX 75019-5472

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6176SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Healthcare Placement CurrentSince Aug 17, 2025 Accepting new patients
Delta Healthcare Providers CurrentSince Aug 17, 2025 Accepting new patients

Locations

3100 Olympus Blvd
Coppell, TX 75019
Phone (530) 588-0608

Organizations & group practices 2

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": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1073499323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 OLYMPUS BLVD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OLYMPUS BLVD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195472",
            "telephone_number": "800-521-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ARDIS",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "6176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.