Individual provider Active NPI

Joanna Marie Waite, M.P.T.

  • Physical Therapist
  • Alliance, OH
National Provider Identifier
1619991221
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-008153 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 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-008153 OH Primary

Addresses

Primary practice location

75 Glamorgan St
Ste 110
Alliance, OH 44601-2938

Mailing address

75 Glamorgan St
Ste 110
Alliance, OH 44601-2938
Phone (330) 821-2249

Other identifiers 1

IdentifierTypeStateIssuer
2703855MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061012000448 OH Practitioner - Physical Therapist in Private Practice 6305842485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
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)

75 W Glamorgan
Suite 110
Alliance, OH 44601-2938
Phone (330) 821-2249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-008153OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jesse W White Physical Therapist CurrentSince Jun 12, 2006 Accepting new patients

Locations

75 Glamorgan St
Ste 110
Alliance, OH 44601
Phone (330) 821-2249

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1619991221",
    "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": "WAITE",
        "first_name": "JOANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-008153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2703855",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.