Jenelle Marie White, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTP-PT-LIC-4361 Issued in MT

Practice address

600 Mt Highway 91 S
Dillon, MT 59725-7379

Phone

(406) 683-3098

Fax

(406) 683-1102

NPI assigned

Jul 14, 2014

Last updated

Jul 14, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SCL Health Medical Group-Butte LLCGroup PAC ID 2466633102, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SCL Health Medical Group-Butte LLC

  • Family Medicine Physician
  • Butte, MT
  • NPI 1477869600
  Medicare reassignment Care Compare group NPD
• SCL Health Medical Group-Butte LLC

  dba Boulder Clinic - Family Medicine

  • Rural Health Clinic/Center
  • Boulder, MT
  • NPI 1861031122
  NPD

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1700293560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597250287",
            "telephone_number": "406-490-5901",
            "fax_number": "406-683-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MT HIGHWAY 91 S",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597257379",
            "telephone_number": "406-683-3098",
            "fax_number": "406-683-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JENELLE",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-4361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Inez Ward, PTA
• Karen Weed, M.D.
• Patricia Marie Weigle, CRNA
• Amy Wellborn
• Amanda Leigh Wendt, L.M.T
• Kristen Augusta White, MD
• Seth Wiley, PT, DPT
• Ashley Williams, SWLC
• Marybeth L Wilson, DPT
• Women's Resource Center of Dillon (Community Support Center)

• Physical Therapist in Dillon, MT
• Providers in Dillon, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.