Active NPI
Colby White, DPT
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1992427223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-32554
- Practice address
- 2835 E Brown Rd Ste 101
Mesa, AZ 85213-5470 - Phone
- (480) 807-6644
- Fax
- (480) 324-1881
- NPI assigned
- Sep 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-32554 | AZ | Primary |
Addresses
Primary practice location
2835 E Brown Rd Ste 101
Mesa, AZ 85213-5470
Mailing address
15410 S Mountain Pkwy Ste 112
Phoenix, AZ 85044-6691
Phone (480) 689-5534
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-32554 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1992427223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15410 S MOUNTAIN PKWY STE 112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446691",
"telephone_number": "480-689-5534",
"fax_number": "480-706-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 E BROWN RD STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852135470",
"telephone_number": "480-807-6644",
"fax_number": "480-324-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "COLBY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-32554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.