Vincenza White

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA25375 Issued in FL

Practice address

2211 S, FL-77 Ste 200
Lynn Haven, FL 32444

Phone

(850) 252-1414

NPI assigned

Dec 1, 2022

Sex

Female

Sole proprietor

Yes

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.

• Excellence Physical Therapy LLC

  • Clinic/Center
  • Lynn Haven, FL
  • NPI 1679109953
  NPD (past)

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1245940147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 J H CREWS CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324042262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S, FL-77 STE 200",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "32444",
            "telephone_number": "850-252-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "VINCENZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA25375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Waynes, CRNA
• Weeks Family Services Inc. (BrightStar of Bay/Jackson/Washington Counties)
• Fred William Werner, RPH
• White Sands Medical Group (Plastic Surgery Institute & Spa)
• Sonya White
• William C Forrest
• Steven R Wilson, R.PH.
• Brittany Wobser, LPTA
• Woodham Family Medical, LLC (Natasha Woodham, ARNP)
• Natasha Celest Woodham, APRN

• Physical Therapy Assistant in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.