JACQUELINE ANN WHITE (DPT) – Physical Therapist, NPI 1073189619
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,334 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN
Provider Addresses for JACQUELINE ANN WHITE (DPT)
1200 CORPORATE DR STE 400
HOOVER, AL 352425424
Phone: (423) 238-7568
Type: Mailing
612 LYLE ST STE 118
JOHNSON CITY, TN 376048001
Phone: (423) 328-3156
Type: Location
4215 BURNS RD STE 200
PALM BEACH GARDENS, FL 334104625
Phone: (561) 694-7776
Fax: (561) 694-3099
Type: Mailing
2055 MILITARY TRL STE 200
JUPITER, FL 334587830
Phone: (561) 694-7776
Fax: (561) 694-3099
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210630003798 | I | Physical Therapist In Private Practice | TN | TBD |
| I20231031003517 | I | Physical Therapist In Private Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 350 | 32 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 218 | 31 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 218 | 28 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 69 | 19 | $0 |
| 97150 | Therapy procedure in a group setting | 61 | 20 | $0 |
Insurance plans in this area (ZIP 35242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Orthopedic Surgery, Hand Surgery | MI | |
| Orthopedic Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| Hand Surgery | FL | |
| P O D I A T R Y | FL | |
| Physician Assistant | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| - | FL |
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