Active NPI
Deborah Kay White, P.T.
- Physical Therapist
- Bethpage, NY
National Provider Identifier
1396740973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005258-1
- Practice address
- 4250 Hempstead Tpke
Ste 1
Bethpage, NY 11714-5707 - Phone
- (516) 579-7870
- Fax
- (516) 579-7867
- NPI assigned
- Jun 20, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | 005258-1 | NY | Primary |
Addresses
Primary practice location
4250 Hempstead Tpke
Ste 1
Bethpage, NY 11714-5707
Mailing address
4250 Hempstead Tpke
Ste 1
Bethpage, NY 11714-5707
Phone (516) 579-7870
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112807278 | Other | NY | HORIZON HEALTHCARE |
| 112807278 | Other | NY | HEALTHNET (TRICARE NORTH) |
| 112807278 | Other | NY | METRACOMP |
| 112807278 | Other | NY | PHCS |
| 112807278 | Other | NY | ACCESS MANAGED HEALTHCARE |
| 3514 | Other | NY | VYTRA HEALTH PLAN |
| 000000080279 | Other | NY | GHI HMO |
| 112807278 | Other | NY | MAGNACARE |
| 4360072 | Other | NY | AETNA HMO |
| 650013195 | Other | NY | RAILROAD MEDICARE |
| 112807278 | Other | NY | MULTIPLAN |
| 112807278 | Other | NY | RISING MEDICAL SOLUTIONS |
| ANC1170 | Other | NY | OXFORD HEALTH PLAN |
| 20089P | Other | NY | HIP |
| 6600523 | Other | NY | GHI PPO |
| 934808 | Other | NY | FIRST HEALTH |
| Q53971 | Other | NY | BLUSCROSS/BLUESHIELD |
| 0090294 | Other | NY | AETNA USHC |
| 373633 | Other | NY | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005258-1 | NY | MD | Physical Therapist |
| 6249 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group of South Carolina Inc | Physical Therapist | Current | Accepting new patients |
| Rivertown Lymphedema Clinic and Rehab, LLC | Past | Accepting new patients | |
| Bethpage Physical Therapy Assoc PC | Past | Accepting new patients |
Locations
872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050
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 and National Provider Directory roles.
-
- Physical Therapist
- Bluffton, SC
- NPI 1073957064
-
- Specialist
- Bethpage, NY
- NPI 1518138452
-
- Physical Therapy Clinic/Center
- Myrtle Beach, SC
- NPI 1306074885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1396740973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 HEMPSTEAD TPKE",
"address_2": "STE 1",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117145707",
"telephone_number": "516-579-7870",
"fax_number": "516-579-7867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 HEMPSTEAD TPKE",
"address_2": "STE 1",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117145707",
"telephone_number": "516-579-7870",
"fax_number": "516-579-7867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DEBORAH",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-20",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "005258-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HEALTHCARE",
"identifier": "112807278",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET (TRICARE NORTH)",
"identifier": "112807278",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METRACOMP",
"identifier": "112807278",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "112807278",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACCESS MANAGED HEALTHCARE",
"identifier": "112807278",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA HEALTH PLAN",
"identifier": "3514",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000080279",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "112807278",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "4360072",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "650013195",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "112807278",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RISING MEDICAL SOLUTIONS",
"identifier": "112807278",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "ANC1170",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "20089P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "6600523",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "934808",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUSCROSS/BLUESHIELD",
"identifier": "Q53971",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC",
"identifier": "0090294",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "373633",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethpage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.