Rebecca Whitehead

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2943 Issued in OK

Practice address

6205 NW Ferris Ave
Lawton, OK 73505-5703

Phone

(580) 353-0334

NPI assigned

Feb 5, 2021

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)

Not enrolled

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1336731991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 NW FERRIS AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055703",
            "telephone_number": "580-353-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 NW FERRIS AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055703",
            "telephone_number": "580-353-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle White, APRN-CNP
• Sarajane White, L.P.C.
• Stephanie Lynn White, HIS
• Tangelena White
• Kelvin N. Whitehead, D.PH
• Skye Whitehead, PRSS
• Suzanne Borrer Whitehead, DIETITIAN
• Tammi Denise Whitehead
• Angelia Marie Whiteman, APRN
• Tamara Dorsey Whiteman, BCBA

• Physical Therapy Assistant in Lawton, OK
• Providers in Lawton, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.