Lacey White, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11327525-2401 Issued in UT

Practice address

5349 Adams Ave Pkwy Ste a
Ogden, UT 84405-4736

Phone

(801) 479-9865

Fax

(801) 479-5846

NPI assigned

Jun 25, 2019

Last updated

Aug 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

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.

• Elevated Performance and Rehabilitation

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Ogden, UT
  • NPI 1285313452
  NPD

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1306407937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 E 5600 S",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034384",
            "telephone_number": "801-689-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5349 ADAMS AVE PKWY STE A",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054736",
            "telephone_number": "801-479-9865",
            "fax_number": "801-479-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LACEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11327525-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaz Whitbeck
• Chelsea Wheeler Whitby, ACMHC
• Anarie White, LCSW
• Ciera Alexis White, MS, TRS, CTRS
• Justin Shane White, D.O.
• Nicholas J White, DPT
• Shaleese Marie White
• Amber Dawn Whitear, MD
• Briana Lin Whitecar
• Matthew Whiting

• Physical Therapist in Ogden, UT
• Providers in Ogden, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.