Active NPI
Pamela Elizabeth White, PT
- Physical Therapist
- Overland Park, KS
National Provider Identifier
1417234188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-04244
- Practice address
- 10460 Mastin St
Suite 150
Overland Park, KS 66212-5701 - Phone
- (913) 492-7870
- Fax
- (913) 492-3447
- NPI assigned
- Nov 9, 2011
- Last updated
- Nov 9, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-04244 | KS | Primary |
| Physical Therapist | 225100000X | 23361 | FL |
Addresses
Primary practice location
10460 Mastin St
Suite 150
Overland Park, KS 66212-5701
Mailing address
10460 Mastin Street
Suite 150
Overland Park, KS 66212
Phone (913) 492-7870
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-04244 | KS | MD | Physical Therapist |
| 23361 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy and Sports Rehabilitation, PA | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Overland Park, KS
- NPI 1811941479
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1417234188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10460 MASTIN STREET",
"address_2": "SUITE 150",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66212",
"telephone_number": "913-492-7870",
"fax_number": "913-492-3447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10460 MASTIN ST",
"address_2": "SUITE 150",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662125701",
"telephone_number": "913-492-7870",
"fax_number": "913-492-3447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "PAMELA",
"middle_name": "ELIZABETH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-09",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-04244",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "23361",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.