Jesse Stephen White, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5728 Issued in NC

Practice address

2275 Ruin Creek Rd
Henderson, NC 27537-8732

Phone

(252) 492-0066

NPI assigned

May 26, 2018

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

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527292800000",
    "number": "1912498858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 BLACKROCK RD",
            "city": "MERRY HILL",
            "state": "NC",
            "postal_code": "279579691",
            "telephone_number": "252-325-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 RUIN CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275378732",
            "telephone_number": "252-492-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JESSE",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-26",
        "last_updated": "2018-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A5728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren-Vance Community Health Center, Inc.
• Janielle Watkins
• Mary Edith Watkins, MA, LPC, CCMHC, NCC
• Millard Winston Wester III, DDS
• Charles Craig White, RPH
• Kristen L White, PA-C
• Turkesa Whittley
• Shakiera Monique Whyte Henry, FNP-C
• Aretha Wiggs-Grimes, D.O.
• William S. Wooten, DDS, PA

• Physical Therapy Assistant in Henderson, NC
• Providers in Henderson, 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 May 26, 2018; 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.