Individual provider Active NPI

Jennifer Celeste White, PT

  • Physical Therapist
  • Syracuse, NY
National Provider Identifier
1689790313
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
126421 Issued in NY
Practice address
1001 E Genesee St
Syracuse, NY 13210-1808
Phone
(315) 475-9624
Fax
(315) 701-0450
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 126421 NY Primary
Massage Therapist 225700000X 0170151 NY

Addresses

Primary practice location

1001 E Genesee St
Syracuse, NY 13210-1808

Mailing address

1001 E Genesee St
Syracuse, NY 13210-1808
Phone (315) 475-9624

Other identifiers 3

IdentifierTypeStateIssuer
P010012642OtherNYBC BS INSURANCE OF CNY
714708OtherNYMVP INSURANCE
0160254OtherBC BS INSURANCE OF CNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012642NYMDCounselor
0170151NYMDMassage Therapist
126421NYMDPsychiatric Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Murray J Saucier Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1689790313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101808",
            "telephone_number": "315-475-9624",
            "fax_number": "315-701-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101808",
            "telephone_number": "315-475-9624",
            "fax_number": "315-701-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JENNIFER",
        "middle_name": "CELESTE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "126421",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "0170151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS INSURANCE OF CNY",
            "identifier": "P010012642",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP INSURANCE",
            "identifier": "714708",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS INSURANCE OF CNY",
            "identifier": "0160254",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.