Walter Guy White, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05007456A Issued in IN

Practice address

5936 N Keystone Ave
Suite 101
Indianapolis, IN 46220-2458

Phone

(317) 257-8340

Fax

(317) 257-8361

NPI assigned

Oct 17, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Select Physical Therapy Holdings, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Monticello, IN
  • NPI 1356971295
  Medicare reassignment Care Compare group
• Select Physical Therapy Holdings, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Noblesville, IN
  • NPI 1659018265

  Physical Therapist

  NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD
• Select Physical Therapy Holdings, Inc.

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Logansport, IN
  • NPI 1245860196
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174603831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5936 N KEYSTONE AVE",
            "address_2": "SUITE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202458",
            "telephone_number": "317-257-8340",
            "fax_number": "317-257-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5936 N KEYSTONE AVE",
            "address_2": "SUITE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202458",
            "telephone_number": "317-257-8340",
            "fax_number": "317-257-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "WALTER",
        "middle_name": "GUY",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007456A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHME PIN NUMBER",
            "identifier": "000000206866",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra White, RBT
• Stephanie Dixon White, MSW, LCSW
• Thomas J White Jr., CST/CFA
• Tiauna Krysten Ruth White
• Valerie Ann White, DDS
• Whitney Breanne White, BCBA
• Yvette Renee White, MS,CCC-SLP
• Jason T Whitefoot, CRNA
• Anne C Whitehead, MD
• Demetrius Whitehead, LPN

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.