Pauline A White-Defreitas, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029404 Issued in NY

Practice address

1717 N Flagler Dr Ste 11
West Palm Beach, FL 33407-6555

Phone

(561) 619-8954

Fax

(561) 619-8954

NPI assigned

Apr 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sobe Innovative Rehabilitation PLLCGroup PAC ID 4789994336, 178 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cutting Edge Physical Therapy & Wellness

  dba Cutting Edge Physical Therapy & Wellness, PC

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1396117339
  Medicare reassignment NPD Authorized official
• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595
  Medicare reassignment Care Compare group NPD
• First Care Therapy LLC

  • Physical Therapy Clinic/Center
  • Boynton Beach, FL
  • NPI 1972271955

  Physical Therapist

  NPD
• Cutting Edge Physical Therapy & Wellness Inc

  • Health Maintenance Organization
  • Brooklyn, NY
  • NPI 1851568752
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1578738563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N FLAGLER DR STE 11",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076555",
            "telephone_number": "561-619-8954",
            "fax_number": "561-619-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N FLAGLER DR STE 11",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076555",
            "telephone_number": "561-619-8954",
            "fax_number": "561-619-8954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1624 Dean St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112131713",
            "country_code": "US",
            "telephone_number": "718-360-1697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE-DEFREITAS",
        "first_name": "PAULINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006241100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aisha Wheeler, DNP, APRN, PMHNP-BC
• White Coat NFH Inc (White Coat)
• White Glove Community Care of Florida, Inc.
• White Oak Health LLC
• Shirley Ann White-Barnes
• Adam White, PH.D.
• Amy White
• Andrea Maria White
• Christopher White, DC
• Denise White

• Physical Therapist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.

Verify at the official NPI Registry.