Individual provider Active NPI

Zachary C White, DPT

  • Physical Therapist
  • Gallatin, TN
National Provider Identifier
1831664796
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11840 Issued in TN
Practice address
879 Greenlea Blvd Ste 105
Gallatin, TN 37066-3205
Phone
(615) 339-5096
Fax
(615) 657-5855
NPI assigned
Oct 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11840 TN Primary

Addresses

Primary practice location

879 Greenlea Blvd Ste 105
Gallatin, TN 37066-3205

Mailing address

879 Greenlea Blvd Ste 105
Gallatin, TN 37066-3205
Phone (615) 339-5096

Other practice location 1

3230 Lake Worth Rd Ste C
Palm Springs, FL 33461
Phone (561) 968-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11840TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1831664796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 GREENLEA BLVD STE 105",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663205",
            "telephone_number": "615-339-5096",
            "fax_number": "615-657-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 GREENLEA BLVD STE 105",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663205",
            "telephone_number": "615-339-5096",
            "fax_number": "615-657-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3230 Lake Worth Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "33461",
            "country_code": "US",
            "telephone_number": "561-968-7788",
            "fax_number": "561-968-9969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ZACHARY",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.