Gracie Whitley, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1112480 Issued in TX

Practice address

2735 Oakland Ave
Garland, TX 75041-3909

Phone

(214) 227-5333

NPI assigned

Aug 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• A2Z Care Connections LLC

  • Case Management Agency
  • Garland, TX
  • NPI 1871035626
  NPD (past) Authorized official

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1104173491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 OAKLAND AVE",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 OAKLAND AVE",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413909",
            "telephone_number": "214-227-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "GRACIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1112480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Gatewood White
• Lareine White
• Lauren Elizabeth Blackburn White
• Melinda White, M.S., CF-SLP
• Whitewing Dental of Garland PLLC
• Kate Elizabeth Lee Whitley, LPC
• Wholistic Healthcare Solutions: Mind, Body & Spirit, PLLC
• Laura Elizabeth Wiese, O.D.
• Robert Gustav Wiese, D.D.S.
• Jayne Wiggins, MS, RD, LD, CDE

• Pediatric Physical Therapist in Garland, TX
• Providers in Garland, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.