Active NPI
Bruce DM White, MSPT
- Physical Therapist
- Royal Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT14615
- Practice address
- 11440 Okeechobee Blvd Ste 103
Royal Palm Beach, FL 33411-8707 - Phone
- (561) 792-9859
- Fax
- (561) 792-8521
- NPI assigned
- Sep 22, 2006
- Last updated
- Jun 26, 2024
- Sex
- Male
- 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 Therapist | 225100000X | PT14615 | FL | Primary |
Addresses
Primary practice location
11440 Okeechobee Blvd Ste 103
Royal Palm Beach, FL 33411-8707
Mailing address
5840 Corporate Way Ste A11
West Palm Beach, FL 33407-2048
Phone (561) 432-0111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891435400 | Medicaid | FL | |
| 11366904 | Other | FL | CAQH |
| 822053 | Other | FL | ACN GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10131 Forest Hill Blvd
Wellington, FL 33414-6109
Phone (561) 803-8616
10131 W Forest Hill Blvd
Wellington, FL 33414-6109
Phone (561) 798-6600
440 N State Rd
Royal Palm Beach, FL 33411-3504
Phone (561) 798-6600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Medical Center LLC | Current | Accepting new patients | |
| Center for Bone & Joint Surgery of the Palm Beaches, P.a. | Past | Accepting new patients | |
| Intergold LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Wellington, FL
- NPI 1457326761
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1578719753
-
dba Indian River Walk In Clinic
- Urgent Care Clinic/Center
- Vero Beach, FL
- NPI 1952311458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1366541773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5840 CORPORATE WAY STE A11",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072048",
"telephone_number": "561-432-0111",
"fax_number": "561-432-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11440 OKEECHOBEE BLVD STE 103",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334118707",
"telephone_number": "561-792-9859",
"fax_number": "561-792-8521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "BRUCE",
"middle_name": "DM",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT14615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891435400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11366904",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP",
"identifier": "822053",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Royal Palm Beach, FL
- Beverley J West, NP
- Branden Dennard West, DPT
- Western Community Dialysis Center LLC
- Westside Outpatient Center, LLC (Palms Wellington Surgical Center)
- Ada Wetterer, P.T.A.
- Megan Whitehall
- Nakeisha Lattoia Whitfield, LCSW
- Willie Anthony Whitfield Sr.
- Charneil Breon Williama
- Rojean Lizette Williams, RD LDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.