Regan Colleen White, PT, DPT, ATC, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05013720A Issued in IN

Practice address

1002 W Broadway St
Monticello, IN 47960-1816

Phone

(574) 583-5590

NPI assigned

Dec 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Therapy and RehabilitationGroup PAC ID 7719305325, 6 clinicians

Practice addresses (Care Compare)

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.

• Advantage Therapy and Rehabilitation

  • Physical Therapist
  • Covington, IN
  • NPI 1225649858
  Medicare reassignment Care Compare group NPD
• Freedom Physical Therapy and Fitness, PLLC

  • Physical Therapist
  • Naples, FL
  • NPI 1750060760
  NPD (past)
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)
• Sports and Orthopedic Rehabilitation Services, Inc.

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1851880728
  NPD (past)

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1669917787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W BROADWAY ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479601816",
            "telephone_number": "574-583-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W BROADWAY ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479601816",
            "telephone_number": "574-583-5590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 Pine Ridge Rd",
            "address_2": "15",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341092107",
            "country_code": "US",
            "telephone_number": "239-593-4348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9250 Corkscrew Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339283216",
            "country_code": "US",
            "telephone_number": "239-390-1656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "REGAN",
        "middle_name": "COLLEEN",
        "credential": "PT, DPT, ATC, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32257",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210830",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013720A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Michelle Wells, NP
• Autumn Whitaker
• White County Community Counseling Services LLC
• White County Government
• Benjamin Jacob Wilkes Sr., PHARMD
• Willow Wellness LLC
• Paige Wiseman, AAS
• Witham Memorial Hospital
• Angelique Witlam, PT, DPT, ATP

• Physical Therapist in Monticello, IN
• Providers in Monticello, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.