Individual provider Active NPI

Erin R White, D.P.T

  • Pediatric Physical Therapist
  • Rogers, AR
National Provider Identifier
1720435936
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
4141 Issued in AR
Practice address
5302 W Village Pkwy Ste 1
Rogers, AR 72758-8139
Phone
(479) 659-1899
NPI assigned
May 17, 2016
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X
Pediatric Physical Therapist 2251P0200X 4141 AR Primary

Addresses

Primary practice location

5302 W Village Pkwy Ste 1
Rogers, AR 72758-8139

Mailing address

1421 Allens Mill Way
Cave Springs, AR 72718-5034
Phone (620) 660-2852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009000628 AR Practitioner - Physical Therapist in Private Practice 1759633498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4141ARMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
White's Fitness & Rehabilitation Inc. Pediatrics CurrentSince Jun 12, 2022 Accepting new patients
Pathfinder, Inc. CurrentSince Aug 31, 2018 Accepting new patients
Pathfinder, Inc. Past Accepting new patients

Locations

1004 SE 5th St
Bentonville, AR 72712
Phone (479) 254-6717

303 SW 18th St
Ste 1
Bentonville, AR 72712
Phone (479) 360-6896

905 N Redmond Rd
Jacksonville, AR 72076
Phone (501) 533-6302

5302 W Village Pkwy
Ste 1
Rogers, AR 72758
Phone (479) 268-6090

5305 W Village Pkwy
Ste 9
Rogers, AR 72758
Phone (479) 401-2077

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1720435936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 ALLENS MILL WAY",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727185034",
            "telephone_number": "620-660-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 W VILLAGE PKWY STE 1",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588139",
            "telephone_number": "479-659-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ERIN",
        "middle_name": "R",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "4141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.