Active NPI
Kenyata Monique White, LPTA
- Physical Therapy Assistant
- Toledo, OH
National Provider Identifier
1386397537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA012576
- Practice address
- 4220 N Holland Sylvania Rd
Toledo, OH 43623-2577 - Phone
- (419) 707-5619
- NPI assigned
- Jan 28, 2022
- 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 | PTA012576 | OH | Primary |
Addresses
Primary practice location
4220 N Holland Sylvania Rd
Toledo, OH 43623-2577
Mailing address
5334 Fredelia Dr
Toledo, OH 43623-1528
Phone (810) 874-5210
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 |
|---|---|---|---|
| PTA012576 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1386397537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5334 FREDELIA DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436231528",
"telephone_number": "810-874-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 N HOLLAND SYLVANIA RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436232577",
"telephone_number": "419-707-5619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KENYATA",
"middle_name": "MONIQUE",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA012576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.