Miranda White, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4564 Issued in GA

Practice address

1311A Fulton Industrial Blvd NW Ste 5
Atlanta, GA 30336-1533

Phone

(678) 685-1386

Fax

(678) 601-1341

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Middle Georgia Family RehabGroup PAC ID 5395971402, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Middle Georgia Family Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Byron, GA
  • NPI 1245672724

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Central Ga Family Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Byron, GA
  • NPI 1316788540

  Physical Therapist

  Medicare reassignment NPD
• Touch of Therapy Health and Wellness Services, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Mableton, GA
  • NPI 1235211996

  Single Specialty

  NPD Authorized official
• West Florida Healthworks LLC

  • Specialist
  • Pensacola, FL
  • NPI 1891742326

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1386744233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 WANDERING VINE CT. SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "30126",
            "telephone_number": "678-685-1386",
            "fax_number": "678-601-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311A FULTON INDUSTRIAL BLVD NW STE 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303361533",
            "telephone_number": "678-685-1386",
            "fax_number": "678-601-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MIRANDA",
        "name_prefix": "Prof.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT004564",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT4564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "618882941A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Alice White, SPT
• Megan White
• Megann Riley White
• Melissa H White, MD
• Michael Hugh White, MD
• Nadeen White, MD
• Nakeya S. White
• Nissa Christina White
• Phylesia White, RBT
• Porshea Ja'Quindi White, CRNA

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.

Verify at the official NPI Registry.