White Bay P.T. Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20707 Issued in FL

Legal business name

WHITE BAY P.T. INC

Practice address

4465 SW 160TH Ave
100
Miramar, FL 33027-5734

Phone

(954) 430-1061

Fax

(954) 430-1061

NPI assigned

Aug 15, 2010

Organization subpart

No

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

Authorized official

Name

Lionel Pannunzio

Title

President

Phone

(954) 430-1061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281830400000",
    "number": "1467767418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 SW 160TH AVE",
            "address_2": "100",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275734",
            "telephone_number": "954-430-1061",
            "fax_number": "954-430-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 SW 160TH AVE",
            "address_2": "100",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275734",
            "telephone_number": "954-430-1061",
            "fax_number": "954-430-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE BAY P.T. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-15",
        "last_updated": "2010-08-15",
        "status": "A",
        "authorized_official_last_name": "PANNUNZIO",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-430-1061"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Westfall, D.C.
• Robert Wetherille
• WH Medical Management
• WH Medical Manangement
• Jennifer Wheet, PHARMD
• Ashley White, PTA
• Canute Barrington White
• Tabitha Terrell White
• Tyra D White
• Brianna Whitelocke

• Physical Therapist in Miramar, FL
• Providers in Miramar, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2010; 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.