Mr. Douglas E White
Physical Therapist (Sports)

Address: 187 Andover St, Andover, MA 01810-5638
Phone: 9786585556

Mr. Douglas E White (NPI# 1184655458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1184655458
Entity Type Individual
Full Name Mr. Douglas E White
Credential MSPT, L/ATC, CSCS
Gender Male
Practice Address 187 Andover St
Andover
MA 01810-5638
Practice Telephone 9786585556
Practice Fax Number 9786585269
Mailing Address Po Box 4053
Andover
MA 01810-0811
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-07-05
Last Update Date 2010-03-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Yes 2251S0007X Physical Therapist · Sports Respiratory, Developmental, Rehabilitative and Restorative Service Providers
No 2251X0800X Physical Therapist · Orthopedic Respiratory, Developmental, Rehabilitative and Restorative Service Providers
No 2255A2300X Specialist/Technologist · Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Identifier Issuer Type Code
MA Y67383 OTHER BC/BS
MA 0308943 MEDICAID
MA 467531 OTHER TUFTS

Other Providers DOUGLAS WHITE

NPI Name Taxonomy Address Enumeration
1467704817 Douglas John White Counselor 413 Kimbro Dr, Baton Rouge, LA 70808-6037 2012-10-10
1821327750 Douglas Francis White Registered Nurse 1842 Nw 39th Dr, Gainesville, FL 32605-3577 2009-12-24
1568683506 Douglas Ray White Family Medicine 400 Mountain Meadow Ln, Rock Spring, GA 30739-2651 2007-05-01
1295856581 Douglas R White Dentist 9 N Five Points Road, West Chester, PA 19380 2007-04-03
1558494716 Douglas White Nurse Anesthetist, Certified Registered 1065 Delaware Ave Ste A, Marion, OH 43302-6461 2007-03-14
1801994801 Douglas W White Dentist 311 Penn Avenue, West Reading, PA 19611 2006-09-21
1538140322 Douglas Wesley White Radiology 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 2005-11-08
1578566428 Douglas M White Physical Therapist 191 Blue Hills Pkwy, Milton, MA 02186-1535 2005-05-24
1124430046 Douglas White Pharmacist 2750 Cook Rd, West Branch, MI 48661-8744 2014-05-27
1396155909 Douglas White Counselor 1305 Tacoma Ave S, 305, Tacoma, WA 98402-1903 2014-05-05

Physician Overview

NPI 1184655458
PAC ID by PECOS 3678560745
Professional Enrollment ID I20040429000753
Full Name Douglas White
Gender M
Credential PT
Medical School UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
Graduation Year 1993
Primary Specialty PHYSICAL THERAPY
Accepts Medicare Assignment M

Office Location

Street Address 187 ANDOVER ST
City ANDOVER
State MA
Zip Code 01810-5638

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972087138 Mia Cloonan Social Worker 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 2018-09-23
1063995462 Janet Suleski Social Worker 10 Stevens St, Andover, MA 01810 2018-09-11
1942794706 Alison Catherine Lynch Optometrist 7 Parthenon Cir, Andover, MA 01810 2018-06-15
1740773647 Wandajune Bishop-towle Psychologist 75 Wild Rose Dr., Andover, MA 01810 2018-06-14
1235689860 Jo-ann Elizabeth Newcomb Registered Nurse 12 Hemlock Rd, Andover, MA 01810 2016-10-06
1922476712 Marianela Rivera Physical Therapist 32 Osgood St., Andover, MA 01810 2015-09-10
1447535935 Kathleen L Mccracken Occupational Therapy Assistant 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 2011-10-15
1114223443 Amy Beaulieu Social Worker 2 Dundee Park Drive, Suite 202b, Andover, MA 01810 2011-02-03
1467758821 Glenn Phillip Petruzzi Counselor 12 Essex Street, Andover, MA 01810 2011-02-02
1518114305 Merrimack Valley Health Services Inc Clinic/Center 323 Lowell Street, Ll, Suite 002, North Andover, MA 01810 2008-08-22
Find all providers in zip 01810

Taxonomy Information

Taxonomy Code 2251S0007X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Sports

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881933273 Jennifer B Green Physical Therapist 9 Whalen Rd, Hopkinton, MA 01748-1719 2013-02-05
1720202088 Maryellen Ernst Physical Therapist 28 Norfolk Ave, Swampscott, MA 01907-1805 2007-04-11
1972649440 Laurence Paul Greenberg Physical Therapist 170 Pond Rd, West Tisbury, MA 02575-0130 2007-01-30
1285723049 Richard Qualter Physical Therapist 160 Route 137, East Harwich, MA 02645-1316 2006-10-12
1225098544 Michael Roger Garrett Physical Therapist 23 W Chester St, Apartment 5, Nantucket, MA 02554-3680 2006-03-23
1730151762 Daniel Murray Physical Therapist 6 Grove St, Norwell, MA 02061-1534 2006-02-03
1245210715 Jay Scott Cloutier Physical Therapist 66 Mdg/sgo, 90 Vandeberg Ave, Hanscom Afb, MA 01731 2006-01-19
1467446864 James E. Zachazewski Physical Therapist 175 Cambridge Street, Suiite 470, Boston, MA 02114-2621 2005-08-31
1528060118 Joseph S O Connor Physical Therapist 39 Cross St, Suite 205, Peabody, MA 01960-1670 2005-08-12
1417401159 Erica Lee Physical Therapist 25 Braintree Hill Office Park, Braintree, MA 02184-8702 2016-08-11
Find all providers with the same taxonomy

Competitor

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City ANDOVER
Zip Code 01810

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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