Jesse William White, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-002099 Issued in OH

Practice address

75 Glamorgan St
Ste. 110
Alliance, OH 44601-2938

Phone

(330) 821-2249

Fax

(330) 821-9318

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mr. Jesse William White Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jesse W WhiteGroup PAC ID 7214957554, 3 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.

• Jesse W White

  dba White Physical Therapy Services, LTD.

  • Physical Therapist
  • Alliance, OH
  • NPI 1053335661
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1598763948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GLAMORGAN ST",
            "address_2": "STE. 110",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446012938",
            "telephone_number": "330-821-2249",
            "fax_number": "330-821-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GLAMORGAN ST",
            "address_2": "STE. 110",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446012938",
            "telephone_number": "330-821-2249",
            "fax_number": "330-821-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JESSE",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-002099",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT-000439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450355",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE PROV #",
            "identifier": "791650025",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "WHITE",
            "middle_name": "WILLIAM",
            "prefix": "MR.",
            "credential": "A.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jule Wellner, CNP
• Hannah M Wells
• Western Reserve O & P Centre Inc
• Bridget White, RN
• Erik D. White, D.O.
• Joshua William White, M.P.T.
• Tomara Lynn Wiles I
• Riley Mae Wilkins
• Melba Williams
• Michele Raye Williams, LPN

• Physical Therapist in Alliance, OH
• Providers in Alliance, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.