Nicholas J White, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11140044-2401 Issued in UT

Practice address

5782 Adams Ave Pkwy
Ogden, UT 84405-6947

Phone

(801) 917-8080

NPI assigned

Aug 11, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rock Run Physical Therapy and Rehab Specialists,LLC 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

52.74 of 100Reported as group

Quality

0

Improvement activities

40

Cost

75.82

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.

• Rock Run Physical Therapy and Rehab Specialists,LLC

  • Physical Therapist
  • Roy, UT
  • NPI 1629012240
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1609320274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5782 ADAMS AVE PKWY",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056947",
            "telephone_number": "801-917-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5782 ADAMS AVE PKWY",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056947",
            "telephone_number": "801-917-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 NW Century Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303495",
            "country_code": "US",
            "telephone_number": "541-754-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61861",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11140044-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Wheeler Whitby, ACMHC
• Anarie White, LCSW
• Ciera Alexis White, MS, TRS, CTRS
• Justin Shane White, D.O.
• Lacey White, DPT
• Shaleese Marie White
• Amber Dawn Whitear, MD
• Briana Lin Whitecar
• Matthew Whiting
• Amy Whitley

• All providers in Ogden, UT
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.