Active NPI
Tracy S Whitman, PT
- Specialist
- Wayne, PA
National Provider Identifier
1104915131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT002487L
- Practice address
- 34 Greythorne Woods Cir
Wayne, PA 19087-4758 - Phone
- (610) 995-2727
- NPI assigned
- Oct 11, 2006
- Last updated
- Jul 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0097300000 | Other | PA | PERSONAL CHOICE (INDEPBC) |
| 438299 | Other | PA | AETNA PPO |
| 0800696 | Other | PA | AETNA HMO |
| 400214 | Other | PA | HIGHMARK BS |
Other names 1
- Ms. Tracy S Horter
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT002487L | PA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patch Technique PLLC | Past | Accepting new patients | |
| Integrated Physical Therapy, LLC | Past | 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.
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- King of Prussia, PA
- NPI 1750816351
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.