Tracy Dawn Whiteleather, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05006313A Issued in IN

Practice address

3217 Lake Ave
Fort Wayne, IN 46805-5427

Phone

(260) 420-4400

Fax

(260) 420-4448

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tracy Dawn Beasey Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.53 of 100Reported as group

Quality

70

Promoting interoperability

100

Improvement activities

40

Cost

75.11

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.

• Parkview Health System Inc

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1932130952
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1649289299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350034",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436350034",
            "telephone_number": "260-420-4400",
            "fax_number": "260-420-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055427",
            "telephone_number": "260-420-4400",
            "fax_number": "260-420-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITELEATHER",
        "first_name": "TRACY",
        "middle_name": "DAWN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05006313A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200492840",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "BEASEY",
            "middle_name": "DAWN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martin R. White, O.D.
• T Eric White, MD
• Wendy M White, PT
• Jeanne K Whitehead, LCSW, LMFT
• Kevin A. Whiteleather, OD
• Jessie M Whiteman, FNP-C
• Whitington Homes & Services for Children and Families, Inc
• Olivia Whitlock
• Amy Whitlow
• Bethany Ann Whitlow

• Physical Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.