Active NPI
Colin Spencer White, DPT
- Physical Therapist
- Fayetteville, AR
National Provider Identifier
1477508422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2553
- Practice address
- 14030 Hummingbird Rd
Fayetteville, AR 72701-0358 - Phone
- (501) 733-6113
- NPI assigned
- May 24, 2006
- Last updated
- Sep 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2553 | AR | Primary |
Addresses
Primary practice location
14030 Hummingbird Rd
Fayetteville, AR 72701-0358
Mailing address
14030 Hummingbird Rd
Fayetteville, AR 72701-0358
Phone (501) 733-6111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5X638 | Other | AR | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Maumelle Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Ozark Orthopaedics, P.a. | Past | Accepting new patients |
Organizations & group practices 5
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 Therapist
- Rogers, AR
- NPI 1194449538
-
dba Arkansas Physical Therapy Services of Rogers
- Physical Therapist
- Rogers, AR
- NPI 1295438828
-
- Physical Therapist
- Fayetteville, AR
- NPI 1720607443
-
dba McMaster Physical Therapy
- Physical Therapist
- Conway, AR
- NPI 1487615779
-
dba Ozark Orthopaedic and Sports Medicine
- Orthopaedic Surgery Physician
- Fayetteville, AR
- NPI 1649210584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1477508422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14030 HUMMINGBIRD RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727010358",
"telephone_number": "501-733-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14030 HUMMINGBIRD RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727010358",
"telephone_number": "501-733-6113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "COLIN",
"middle_name": "SPENCER",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT2553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5X638",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.