Active NPI
Stephanie L. White, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1497939912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01266500
- Practice address
- 596 Broadway
Suite 302
New York, NY 10012-3396 - Phone
- (212) 226-2066
- Fax
- (212) 500-0039
- NPI assigned
- Dec 19, 2007
- Last updated
- Feb 20, 2012
- Sex
- Female
- 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 | 40QA01266500 | NJ | Primary |
Addresses
Primary practice location
596 Broadway
Suite 302
New York, NY 10012-3396
Mailing address
596 Broadway
Suite 302
New York, NY 10012-3396
Phone (212) 226-2066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
318 Main St
Suite 200a
Millburn, NJ 07041-1181
Phone (973) 671-5855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030818 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward J. Gorecki, DC, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopedic Physical Therapist
- Millburn, NJ
- NPI 1992323489
-
- Chiropractor
- New York, NY
- NPI 1871729012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1497939912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "596 BROADWAY",
"address_2": "SUITE 302",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100123396",
"telephone_number": "212-226-2066",
"fax_number": "212-500-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "596 BROADWAY",
"address_2": "SUITE 302",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100123396",
"telephone_number": "212-226-2066",
"fax_number": "212-500-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "STEPHANIE",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-19",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01266500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.