Elizabeth Anne White, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1032 Issued in OR

Practice address

625 Stevens St
Medford, OR 97504-6719

Phone

(541) 864-1930

NPI assigned

Aug 21, 2007

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

Other names 1

• Elizabeth A. Bowlus White Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1265625420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4934 COLEMAN CREEK RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975019659",
            "telephone_number": "541-535-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 STEVENS ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046719",
            "telephone_number": "541-864-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WHITE",
            "middle_name": "A. BOWLUS",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Richard J Wheeler, CRM
• Courtney L Wheelock, FNP-C
• Theresa M Whipple
• Michelle Jo Whipps
• Carol Lynn Whitaker, L.C.S.W
• Jeffrey Robert White
• Matthew Michael White, PHARMD
• Michael White
• Monica White
• Rachell White, LMT, MCP

• Physical Therapist in Medford, OR
• Providers in Medford, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.