Active NPI
Amy Lee White, PTA
- Physical Therapy Assistant
- Parsons, TN
National Provider Identifier
1497985709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4570
- Practice address
- 969 Tennessee Ave S
Parsons, TN 38363-3700 - Phone
- (731) 847-1246
- Fax
- (731) 847-1147
- NPI assigned
- Jul 21, 2009
- 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 Therapy Assistant | 225200000X | 4570 | TN | Primary |
Addresses
Primary practice location
969 Tennessee Ave S
Parsons, TN 38363-3700
Mailing address
969 Tennessee Ave S
PO Box 250
Parsons, TN 38363-3700
Phone (731) 847-1246
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4570 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1497985709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "969 TENNESSEE AVE S",
"address_2": "PO BOX 250",
"city": "PARSONS",
"state": "TN",
"postal_code": "383633700",
"telephone_number": "731-847-1246",
"fax_number": "731-846-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 TENNESSEE AVE S",
"city": "PARSONS",
"state": "TN",
"postal_code": "383633700",
"telephone_number": "731-847-1246",
"fax_number": "731-847-1147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "AMY",
"middle_name": "LEE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "4570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parsons, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.