Active NPI
Jacquelyn Lachelegilchrist White, DPT
- Physical Therapist
- Suwanee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012021
- Practice address
- 2780 W Village Dr Ste G
Suwanee, GA 30024-5536 - Phone
- (470) 533-4610
- NPI assigned
- Aug 18, 2015
- Last updated
- Jun 30, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 048656 | NY | |
| Physical Therapist | 225100000X | PT012021 | GA | Primary |
Addresses
Primary practice location
2780 W Village Dr Ste G
Suwanee, GA 30024-5536
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206
Other practice location 1
68 Breezy Valley Connector
Hiram, GA 30141-3054
Phone (724) 816-1800
Other practice location 2
383 White Spruce Blvd
Rochester, NY 14623-1603
Phone (585) 442-6067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
138 5TH Ave
FL 2
New York, NY 10011-4300
138 5TH Ave
FL 2
New York, NY 10011-4367
138 5TH Ave FL
Suite 2
New York, NY 10011-4367
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012021 | GA | MD | Physical Therapist |
| 048656 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shuman Physical Therapy Associates, P.C. | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Services of Flatiron PC | Physical Therapist | Current | Accepting new patients |
| Expressable Speech-Language Pathology, P.C. | Physical Therapist | Past | Accepting new patients |
| MCM Rehabilitation LLC | Past | Accepting new patients |
Locations
1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257
2 Bethesda Metro Ctr
Fl 1
Bethesda, MD 20814
Phone (212) 287-4257
138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257
383 White Spruce Blvd
Rochester, NY 14623
Phone (585) 442-6067
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1134705676
DC, Physical Therapist
-
dba Lattimore Physical Therapy
- Physical Therapist
- Rochester, NY
- NPI 1003928755
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1649875857
Physical Therapist
-
dba Ati Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Hixson, TN
- NPI 1922681360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1255707865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 W VILLAGE DR STE G",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300245536",
"telephone_number": "470-533-4610"
}
],
"practiceLocations": [
{
"address_1": "68 Breezy Valley Connector",
"address_purpose": "LOCATION",
"city": "Hiram",
"state": "GA",
"postal_code": "301413054",
"country_code": "US",
"telephone_number": "724-816-1800",
"fax_number": "865-951-7273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "383 White Spruce Blvd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146231603",
"country_code": "US",
"telephone_number": "585-442-6067",
"fax_number": "585-442-6073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "JACQUELYN",
"middle_name": "LACHELEGILCHRIST",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "048656",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.