Craig Anthony White, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT009854 Issued in OH

Practice address

3550 Shaw Ave
Cincinnati, OH 45208-1416

Phone

(513) 533-5053

Fax

(513) 533-5054

NPI assigned

Apr 23, 2021

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)

Enrolled

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1962084590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 BAGDAD DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452301348",
            "telephone_number": "513-520-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 SHAW AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081416",
            "telephone_number": "513-533-5053",
            "fax_number": "513-533-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CRAIG",
        "middle_name": "ANTHONY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OH",
            "license": "PT009854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantal Renee White
• Charles Eugene White III, S.T.N.A.
• Che'an White, QMHS
• Christine M. White, M.D.
• Courtney White
• Cynthia White
• Damon White
• Daniel R White, M.D.
• Danyelle D White
• Deborah Ann White, LPN

• Geriatric Physical Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Geriatric Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.