BROOKS L WHITE (NPI# 1033680590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033680590 |
| Entity Type | Individual |
| Full Name | BROOKS L WHITE |
| Credential | PTA |
| Practice Address |
4155 N Steele Blvd Ste 80 Fayetteville AR 72703-5394 |
| Practice Telephone | 4794229404 |
| Practice Fax Number | 4794394641 |
| Mailing Telephone | 4794229404 |
| Mailing Fax Number | 4794394641 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA3945 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4155 N STEELE BLVD STE 80 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-5394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508423203 | Rebecca Rockenhaus | Specialist/Technologist | 4155 N Steele Blvd Ste 80, Fayetteville, AR 72703-5394 | 2019-05-29 |
| 1023671088 | Derek Winkle | Speech-Language Pathologist | 4155 N Steele Blvd Ste 80, Fayetteville, AR 72703-5394 | 2019-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700415205 | Marcella Eubanks | Physical Therapy Assistant | Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 | 2020-04-06 |
| 1023580826 | Thomas Barnhart | Physical Therapy Assistant | 138 W Main St Apt C, Fayetteville, PA 17222-1429 | 2018-12-19 |
| 1356818124 | Jennifer L Pannell | Physical Therapy Assistant | 814 N Sunset Dr, Fayetteville, AR 72701-1733 | 2018-10-30 |
| 1023564010 | Rachel Sokolowski | Physical Therapy Assistant | 231 Treetop Dr., Fayetteville, NC 28311 | 2016-08-30 |
| 1417322801 | Catherine Glascock | Physical Therapy Assistant | 12 E Appleby Rd Ste 102, Fayetteville, AR 72703-3928 | 2015-12-10 |
| 1790158624 | Maxx Bartley | Physical Therapy Assistant | 6523 Vaughn Rd, Fayetteville, NC 28304-6006 | 2015-10-30 |
| 1053744938 | Lori Keathley | Physical Therapy Assistant | 3196 S Dead Horse Mountain Rd, Fayetteville, AR 72701-9142 | 2013-08-15 |
| 1306180765 | Kimberly Smith Mills | Physical Therapy Assistant | 6 Hollytree Cir, Fayetteville, TN 37334-8081 | 2012-11-23 |
| 1396045381 | John Jospeh Rodriguez | Physical Therapy Assistant | 3640 Corls Ridge Rd, Fayetteville, PA 17222-9615 | 2010-10-25 |
| 1356650220 | Melanie Garrett Reede | Physical Therapy Assistant | 5213 Palmetto Ln, Fayetteville, NC 28304-4136 | 2010-09-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.