Organization Active NPI

Lisa Nielsen-White, PT, DPT, PLLC

  • Physical Therapist
  • Treynor, IA
National Provider Identifier
1720669146
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LISA NIELSEN-WHITE, PT, DPT, PLLC
Practice address
14439 275TH St
Treynor, IA 51575-7266
Phone
(402) 965-1670
NPI assigned
Apr 16, 2021
Last updated
Apr 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Lisa Nielsen-White, PT, DPT
Title
Physical Therapist
Phone
(402) 965-1670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

14439 275TH St
Treynor, IA 51575-7266

Mailing address

14439 275TH St
Treynor, IA 51575-7266
Phone (402) 965-1670

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1720669146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14439 275TH ST",
            "city": "TREYNOR",
            "state": "IA",
            "postal_code": "515757266",
            "telephone_number": "402-965-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14439 275TH ST",
            "city": "TREYNOR",
            "state": "IA",
            "postal_code": "515757266",
            "telephone_number": "402-965-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA NIELSEN-WHITE, PT, DPT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "NIELSEN-WHITE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "402-965-1670",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Treynor, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.