Active NPI
Barry Lane White, PT
- Physical Therapist
- Cary, NC
National Provider Identifier
1497779367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P7569
- Practice address
- 1001 Sheldon Dr
Cary, NC 27513-2078 - Phone
- (919) 345-9196
- Fax
- (919) 277-9942
- NPI assigned
- Jul 26, 2006
- 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 | P7569 | NC | Primary |
Addresses
Primary practice location
1001 Sheldon Dr
Cary, NC 27513-2078
Mailing address
636 Lipford Dr
Cary, NC 27519-7072
Phone (919) 377-8804
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 |
|---|---|---|---|
| 1366 | SC | MD | Optometrist |
| 594 | GA | MD | Acupuncturist |
| P7569 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy 2 You LLC | 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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Cary, NC
- NPI 1730458902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1497779367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 LIPFORD DR",
"city": "CARY",
"state": "NC",
"postal_code": "275197072",
"telephone_number": "919-377-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SHELDON DR",
"city": "CARY",
"state": "NC",
"postal_code": "275132078",
"telephone_number": "919-345-9196",
"fax_number": "919-277-9942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "BARRY",
"middle_name": "LANE",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P7569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.