Active NPI
Wendy Brooke White, OT
- Pediatric Occupational Therapist
- Brentwood, TN
National Provider Identifier
1588711071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 1293
- Practice address
- 1647 Mallory LN
Suite 103
Brentwood, TN 37027-2909 - Phone
- (615) 661-5437
- NPI assigned
- Jan 5, 2007
- Last updated
- May 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 1293 | TN | Primary |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 1293 | TN |
Addresses
Primary practice location
1647 Mallory LN
Suite 103
Brentwood, TN 37027-2909
Mailing address
9711 Valley Springs Dr
Brentwood, TN 37027-8348
Phone (615) 465-2209
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 |
|---|---|---|---|
| 1293 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Hopes, Inc. | Pediatrics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1588711071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9711 VALLEY SPRINGS DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278348",
"telephone_number": "615-465-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1647 MALLORY LN",
"address_2": "SUITE 103",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272909",
"telephone_number": "615-661-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "WENDY",
"middle_name": "BROOKE",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TN",
"license": "1293",
"primary": true
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "TN",
"license": "1293",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.