Derek Omar White, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

346435-2401 Issued in UT

Practice address

50 E 9000 S
Sandy, UT 84070-2201

Phone

(801) 561-9839

Fax

(801) 352-0027

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beaver Valley Hospital

  dba Alpine Meadow Rehabilitation and Nursing

  • Skilled Nursing Facility
  • West Valley City, UT
  • NPI 1942650148
  NPD (past)
• Independence Rehab

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1407982630
  NPD (past)
• Winnie-Stowell Hospital District

  dba Sterling Oaks Rehabilitation

  • Skilled Nursing Facility
  • Katy, TX
  • NPI 1467901306
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417083064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 W 1200 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572948",
            "telephone_number": "801-226-5565",
            "fax_number": "801-226-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 9000 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702201",
            "telephone_number": "801-561-9839",
            "fax_number": "801-352-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DEREK",
        "middle_name": "OMAR",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "346435-2401",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Bison Therapy Collective (White Bison Therapy)
• Abigail Ann White
• Alex Justin White, DPT
• Brenden R White, O.D.
• Christin Elaine White
• Kelsee Lynn White
• Richard A Whittington, MD
• Whole Kids
• Wholesale Optical
• Susan Elizabeth Widdison

• Physical Therapist in Sandy, UT
• Providers in Sandy, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.