Patrick White, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-1115 Issued in NM

Practice address

3811 Commons Ave NE
Albuquerque, NM 87109-5832

Phone

(505) 345-9599

NPI assigned

Dec 13, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1609381540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 JUDY PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871115023",
            "telephone_number": "505-241-9970",
            "fax_number": "505-241-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 COMMONS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095832",
            "telephone_number": "505-345-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "PATRICK",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "A-1115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Angelynn White, LPCC
• Melissa A. White, LMSW
• Miriam White, CD
• Morgan F White, PA-C
• Norman Gene White, M.D.
• Richard E White Jr., M.D.
• Robert Eliot White, MD. MPH.
• Roger H. White Jr., PH.D.
• Stephanie White
• Stephen C. White, PT, DPT, OCS

• Physical Therapy Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.