Individual provider Active NPI

Elizabeth White, PT, DPT

  • Physical Therapist
  • Ruston, LA
National Provider Identifier
1497449565
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09635 Issued in LA
Practice address
1701 Commerce St
Ruston, LA 71270-6659
Phone
(318) 224-8994
Fax
(318) 224-7094
NPI assigned
Jun 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 09635 LA Primary

Addresses

Primary practice location

1701 Commerce St
Ruston, LA 71270-6659

Mailing address

PO Box 2846
Ruston, LA 71273-2846
Phone (318) 224-8994

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

LicenseStateTypeSpecialty
09635LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Parish Therapy Center LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients

Locations

900 Pershing Hwy
Jonesboro, LA 71251
Phone (318) 224-8994

1701 Commerce St
Ruston, LA 71270
Phone (318) 224-8994

105 Blanchard St
West Monroe, LA 71291
Phone (318) 398-9940

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1497449565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2846",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712732846",
            "telephone_number": "318-224-8994",
            "fax_number": "318-224-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 COMMERCE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706659",
            "telephone_number": "318-224-8994",
            "fax_number": "318-224-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.