Timothy Gary White Jr., PTA
Individual provider Active NPI Physical Therapy Assistant · Franconia, NH
NPI 1659404689 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659404689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 559 (NH)
- Practice address
- 93 Main St
Franconia, NH 03580-4801 - Phone
- (603) 823-5502
- Fax
- (603) 823-7138
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 559 | NH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlisle Place Physical Therapy and Wellness Center, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 559 | NH | Yes |
Addresses
Primary practice location
93 Main St
Franconia, NH 03580-4801
Mailing address
72 Lancaster Rd
Whitefield, NH 03598-3094
Phone (603) 837-2802
Other providers in Franconia, NH
- The Alpine Clinic, PLLC
- Kyle Thorburn
- Pinika Torrey
- Town of Franconia
- Amy Tuohy
- Charles J Wolcott II
- Benedict Woo
- You First Service Coordination LLC
All providers in Franconia, NH · Physical Therapy Assistant in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.