Richard L White, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 1171 Issued in FL

Practice address

234 Willard St
Cocoa, FL 32922-7984

Phone

(321) 795-6007

Fax

(877) 787-5595

NPI assigned

Jul 13, 2013

Last updated

Jul 13, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• PTS Staffing LLC

  • Physical Therapist
  • Merritt Island, FL
  • NPI 1205037793
  NPD (past)

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

{
    "created_epoch": "1373673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373673600000",
    "number": "1467893867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8584 EDEN ISLES LN",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329526800",
            "telephone_number": "321-795-6007",
            "fax_number": "877-787-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WILLARD ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227984",
            "telephone_number": "321-795-6007",
            "fax_number": "877-787-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-13",
        "last_updated": "2013-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 1171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Marie Wenk, PSY.D.
• Winona Louise Werts
• West Point Medical Associates LLC
• West Point Medical Group
• Amber White, RN
• Carolyn Louise Whiting
• Sierra Whitney
• Lauren Nicole Whittaker
• Michele Kay Wiersma, LMHC
• Temika Wilcox

• Physical Therapy Assistant in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2013; 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.