Individual provider Active NPI

Tracy S Whitman, PT

  • Specialist
  • Wayne, PA
National Provider Identifier
1104915131
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT002487L Issued in PA
Practice address
34 Greythorne Woods Cir
Wayne, PA 19087-4758
Phone
(610) 995-2727
NPI assigned
Oct 11, 2006
Last updated
Jul 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT002487L PA Primary

Addresses

Primary practice location

34 Greythorne Woods Cir
Wayne, PA 19087-4758

Mailing address

34 Greythorne Woods Cir
Wayne, PA 19087-4758
Phone (610) 995-2727

Other identifiers 4

IdentifierTypeStateIssuer
0097300000OtherPAPERSONAL CHOICE (INDEPBC)
438299OtherPAAETNA PPO
0800696OtherPAAETNA HMO
400214OtherPAHIGHMARK BS

Other names 1

  • Ms. Tracy S Horter Professional name

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

LicenseStateTypeSpecialty
PT002487LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Patch Technique PLLC PastSince Apr 23, 2023 Accepting new patients
Integrated Physical Therapy, LLC PastSince Sep 15, 2004 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1104915131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GREYTHORNE WOODS CIR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874758",
            "telephone_number": "610-995-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GREYTHORNE WOODS CIR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874758",
            "telephone_number": "610-995-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "TRACY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT002487L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE (INDEPBC)",
            "identifier": "0097300000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "438299",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0800696",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "400214",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "HORTER",
            "middle_name": "S",
            "prefix": "MS.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.