Physician Compare National (NPI:1538478847)

HEALTHCARE PROVIDER: ROXANN MARIE WHITE MSPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1538478847
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951582493
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200817003269
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WHITE
	Individual professional last name
Provider First Name	ROXANN
	Individual professional first name
Provider Middle Name	MARIE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	161 SEABREEZE CIR
	Group Practice or individual's line 1 address
City	KODIAK
	Group Practice or individual's city
State	AK
	Group Practice or individual's state
Zip Code	996157022
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9075125399
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y