Amanda White, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3680 Issued in NC

Practice address

631 Junction Creek Dr
Wilmington, NC 28412-2296

Phone

(910) 995-1149

NPI assigned

Nov 27, 2012

Last updated

Nov 27, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1811232143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 RIVERWOODS DR",
            "address_2": "APT# 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122874",
            "telephone_number": "910-995-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 JUNCTION CREEK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122296",
            "telephone_number": "910-995-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "AMANDA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "3680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Jonathan Whelan, PA-C
• Desiree M Whelan, CADC-I
• Charonda Nicole Whitaker, LCASA
• Kylie Whitaker
• Shannon Michelle Whitaker, PA
• Collins Davis White, RBT
• Eleanor Virginia White, CPP
• Halley R White, DDS MPH
• James Lankford White, DDS
• John Finley White Jr., DDS

• Physical Therapy Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.