Active NPI
Elizabeth L. White, PTA
- Physical Therapy Assistant
- Mitchell, IN
National Provider Identifier
1295937043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06000314A
- Practice address
- 24 Teke Burton Dr
Mitchell, IN 47446-7360 - Phone
- (812) 849-2221
- Fax
- (812) 849-6971
- NPI assigned
- Jun 4, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06000314A | IN | Primary |
Addresses
Primary practice location
24 Teke Burton Dr
Mitchell, IN 47446-7360
Mailing address
273 W Bernadine Dr
Paoli, IN 47454-9288
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06000314A | IN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295937043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 W BERNADINE DR",
"city": "PAOLI",
"state": "IN",
"postal_code": "474549288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 TEKE BURTON DR",
"city": "MITCHELL",
"state": "IN",
"postal_code": "474467360",
"telephone_number": "812-849-2221",
"fax_number": "812-849-6971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ELIZABETH",
"middle_name": "L.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06000314A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mitchell, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.