Wrane Xavier White

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

29438 Issued in FL

Practice address

945 SW Main Blvd
Lake City, FL 32025-5746

Phone

(386) 755-3164

NPI assigned

Dec 4, 2019

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro Motion Therapy of Lake City LLC

  • Physical Therapy Clinic/Center
  • Gainesville, FL
  • NPI 1538358585
  NPD (past)

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1821635210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255746",
            "telephone_number": "386-755-3164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5080 Newberry Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326072251",
            "country_code": "US",
            "telephone_number": "352-325-2276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "WRANE",
        "middle_name": "XAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "29438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sondra Wheeler, PA-C
• Whiddon Construction Co., Inc.
• Brandy Morgan Whilden
• Misty Dawn Whitaker, B.A. DEGREE
• Nicole Carlton White, LMHC
• Amapola Dumlao Whiteside, MD
• Wendy Whitfield, PT
• Shaiwong S Whittaker
• Debra Wickliffe
• Sheila Widergren, M.S. CCC,SLP

• Physical Therapy Clinic/Center in Lake City, FL
• Providers in Lake City, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.