=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861201436
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEL WHITE DPT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/07/2025
-----------------------------------------------------
Last Update Date | 11/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1138 ROUTE 35 SOUTH
-----------------------------------------------------
City | MIDDLETOWN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07748
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-737-9370
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1500 MEETING HOUSE RD
-----------------------------------------------------
City | SEA GIRT
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08750-2220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-784-6545
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 40QA02301400
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2251P0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Physical Therapist
-----------------------------------------------------
License Number | 40QA02301400
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------