Christopher Blake White, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012875 Issued in GA

Practice address

1111 Lower Fayetteville Rd Ste 2000
Newnan, GA 30265-6506

Phone

(770) 251-7284

Fax

(770) 251-7295

NPI assigned

Jul 12, 2017

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801318852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LOWER FAYETTEVILLE RD STE 2000",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656506",
            "telephone_number": "770-251-7284",
            "fax_number": "770-251-7295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Village Professional Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301148499",
            "country_code": "US",
            "telephone_number": "678-880-9472",
            "fax_number": "678-880-9624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHRISTOPHER",
        "middle_name": "BLAKE",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Oak Pediatric Dentistry PC
• White Oak Surgery Center
• White Oak Surgery Center
• Tonya G. White-Harris, LPC
• Brittny K White, CNM
• Emma Grace Hess White
• Sharon Mathews White, CRNA
• Tylor White, RBT
• Cordaryl Lee Whitehead
• Adalias Whitfield, RBT

• Physical Therapist in Newnan, GA
• Providers in Newnan, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.