Active NPI
Jill Ann White, MAOTR
- Occupational Therapist
- Middletown, NJ
National Provider Identifier
1609084458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00035700
- Practice address
- 3 Barbara Ter
Middletown, NJ 07748-1201 - Phone
- (732) 615-0213
- Fax
- (732) 615-0213
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00035700 | NJ | Primary |
Addresses
Primary practice location
3 Barbara Ter
Middletown, NJ 07748-1201
Mailing address
3 Barbara Ter
Middletown, NJ 07748-1201
Phone (732) 615-0213
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00035700 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Physical Therapyand Fitness Inc. | 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 and National Provider Directory roles.
-
- Physical Therapist
- Neptune, NJ
- NPI 1801016746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609084458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BARBARA TER",
"city": "MIDDLETOWN",
"state": "NJ",
"postal_code": "077481201",
"telephone_number": "732-615-0213",
"fax_number": "732-615-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BARBARA TER",
"city": "MIDDLETOWN",
"state": "NJ",
"postal_code": "077481201",
"telephone_number": "732-615-0213",
"fax_number": "732-615-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JILL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MAOTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00035700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.