Benjamin A White, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017332 Issued in OH

Practice address

2516 Fairwood CT
Beachwood, OH 44122-1765

Phone

(812) 361-6212

NPI assigned

Feb 17, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ben White Physiotherapy

  • Physical Therapy Clinic/Center
  • Beachwood, OH
  • NPI 1912405606
  NPD Authorized official
• Burning River Physical Therapy and Wellness Co

  • Physical Therapy Clinic/Center
  • Beachwood, OH
  • NPI 1487229977
  NPD Authorized official

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1407215528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 FAIRWOOD CT",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221765",
            "telephone_number": "812-361-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 FAIRWOOD CT",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221765",
            "telephone_number": "812-361-6212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Wood Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021842404",
            "country_code": "US",
            "telephone_number": "781-535-6053",
            "fax_number": "781-535-6056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1036 Lincoln Ct",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951252637",
            "country_code": "US",
            "telephone_number": "812-361-6212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "credential": "PT,  DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-17",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22202",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292009",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Reserve Vision Care, Inc.
• Khannah Keziah Wetmore, LISW-S
• Diane L Wetzig, PHD
• Dymon Whatley, QMHS
• Jessica Diondra Liane Wheeler
• Chantaisia White
• Laurie Frados White
• Melvin White, MS
• Lamia Whitfield, QMHS BA
• Stephanie Whitko, MD

• Physical Therapist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.