Diane Michele White, PTA
Individual provider Active NPI Physical Therapy Assistant · Smithfield, PA
NPI 1669758181 · NPPES record last updated Oct 28, 2011
Key facts
- NPI
- 1669758181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE1002641 (PA)
- Practice address
- 100 Ridgeview Dr
Suite 6
Smithfield, PA 15478-1650 - Phone
- (724) 564-5600
- Fax
- (724) 564-5602
- NPI assigned
- Oct 28, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE1002641 | PA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgantown Physical Therapy Associates, Inc. | Past |
Accepting new patients | |
| Morgantown Physical Therapy Associates, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE1002641 | PA | Yes |
Addresses
Primary practice location
100 Ridgeview Dr
Suite 6
Smithfield, PA 15478-1650
Mailing address
943 Maple Dr
Morgantown, WV 26505-2812
Phone (304) 599-2515
Other providers in Smithfield, PA
- Smithfield Chiropractic Center PC
- Kendell M Sogliero
- Gary B Sutton
- Betty Rachel Thomas
- Abraham Roberto Valenzuela
- Willow Tree Dental - North PLLC
All providers in Smithfield, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2011. 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.