KEVIN THOMAS WHITE (NPI# 1245310549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245310549 |
Entity Type | Individual |
Full Name | KEVIN THOMAS WHITE |
Credential | MPT |
Practice Address |
169 Lynch Creek Way Petaluma CA 94954-2344 |
Mailing Address |
2 Hilligoss Ct Petaluma CA 94952-5742 |
Practice Telephone | 7077630115 |
Practice Fax Number | 7077632130 |
Mailing Telephone | 7077668109 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT18789 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LICENSE | PT18789 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851823413 | Kevin White | Social Worker | 370 E 200 S, Nephi, UT 84648-1922 | 2017-04-01 |
1679834899 | Kevin White | Dentist | 120 Meridian Way Ste 2, Richmond, KY 40475-2881 | 2012-06-05 |
1447329719 | Kevin Patrick White | Dermatology | 3303 Sw Bond Ave # Ch5d, Portland, OR 97239-4501 | 2006-11-08 |
1952495921 | Kevin Gary White | Pediatrics | 2601 E Main St Ste 200, Ventura, CA 93003-2893 | 2006-10-03 |
1326130048 | Kevin M White | Social Worker | 25 Lincoln Plz, Branchland, WV 25506-9786 | 2006-09-29 |
1336251800 | Kevin C. White | Dentist | 1501 Spring Hill Ave, Mobile, AL 36604-3206 | 2006-08-31 |
1639137490 | Kevin M. White | Psychiatry & Neurology | 3000 Colby St Ste 202, Berkeley, CA 94705-2058 | 2006-05-02 |
1598364903 | Kevin White | Physician Assistant | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-10-19 |
1316552623 | Kevin Karl White | Case Manager/Care Coordinator | 1050 Niagara St, Buffalo, NY 14213-2001 | 2020-09-14 |
1598398380 | Kevin Kyle White | Counselor | 6000 S 1075 E, South Ogden, UT 84405-4945 | 2020-02-19 |
Street Address |
169 LYNCH CREEK WAY |
City | PETALUMA |
State | CA |
Zip Code | 94954-2344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023071909 | Jacqueline Michelle Quinn | Physical Therapist | 169 Lynch Creek Way, Petaluma, CA 94954-2344 | 2006-04-10 |
1376627885 | Robert L. Clark | Physical Therapist | 169 Lynch Creek Way, Petaluma, CA 94954-2344 | 2006-10-24 |
1306933676 | Debra May Sojka | Physical Therapist | 169 Lynch Creek Way, Petaluma, CA 94954-2344 | 2006-10-06 |
1962599704 | Rick Susick | Physical Therapist | 169 Lynch Creek Way, Petaluma, CA 94954-2344 | 2006-10-05 |
1306933163 | Petaluma Physical Therapy Associates Inc | Physical Therapist | 169 Lynch Creek Way, Petaluma, CA 94954-2344 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
Find all providers in zip 94954 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275098071 | Alexander Oberman | Physical Therapist | 3 Indigo Dr Unit 101, Petaluma, CA 94954-6988 | 2019-02-05 |
1770612087 | Barbara Ann Haushalter | Physical Therapist | 222 Weller St Ste 208, Petaluma, CA 94952-7108 | 2007-03-04 |
1548345390 | Mitchell Kauk | Physical Therapist | 224a Weller St, Petaluma, CA 94952-3136 | 2006-10-26 |
1790860542 | Craig Steven Hamley | Physical Therapist | 1476 Professional Dr Ste 504, Petaluma, CA 94954-1500 | 2006-10-26 |
1861852964 | Sport & Spine Therapy of Marin Inc | Physical Therapist | 719 Southpoint Blvd, Suite A, Petaluma, CA 94954-1495 | 2016-03-02 |
1972667947 | Mitchell Kauk | Physical Therapist | 224a Weller St, Petaluma, CA 94952-3136 | 2006-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
Find all providers with the same taxonomy |
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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.