Individual provider Active NPI

James Chadwick Whitefield, PTA

  • Physical Therapy Assistant
  • Rome, GA
National Provider Identifier
1891874020
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA000808 Issued in GA
Practice address
3478 Martha Berry Hwy NE
Rome, GA 30165-7713
Phone
(904) 753-1624
Fax
(866) 858-7371
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA000808 GA Primary

Addresses

Primary practice location

3478 Martha Berry Hwy NE
Rome, GA 30165-7713

Mailing address

PO Box 1975
Rome, GA 30162-1975
Phone (904) 753-1624

Other practice location 1

201 Turner McCall Blvd NW
Rome, GA 30165-2545
Phone (706) 236-2758

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
PTA000808GAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation and Consulting Physical Therapy Assistant Past Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891874020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1975",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301621975",
            "telephone_number": "904-753-1624",
            "fax_number": "866-858-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 MARTHA BERRY HWY NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301657713",
            "telephone_number": "904-753-1624",
            "fax_number": "866-858-7371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Turner McCall Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301652545",
            "country_code": "US",
            "telephone_number": "706-236-2758",
            "fax_number": "706-802-1408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEFIELD",
        "first_name": "JAMES",
        "middle_name": "CHADWICK",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA000808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • 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.