Provider Demographics
NPI:1740233196
Name:WHITE, CAROLINE S (PT)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:S
Last Name:WHITE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 8019
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01102-8000
Mailing Address - Country:US
Mailing Address - Phone:866-431-4077
Mailing Address - Fax:413-774-7448
Practice Address - Street 1:329 CONWAY ST
Practice Address - Street 2:GREEFIELD HEALTH CENTER
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1526
Practice Address - Country:US
Practice Address - Phone:413-774-6301
Practice Address - Fax:413-772-6390
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15642225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3446723OtherAETNA/US HEALTHCARE
MA626166OtherHARVARD PILGRIM HEALTHCAR
MA701451OtherCONNECTICARE, INC.
MAP00145214OtherRAILROAD MEDICARE
MA123139OtherFALLON COMMUNITY HEALTH PLAN
MA468108OtherTUFTS HEALTH PLAN
MA24189OtherHEALTH NEW ENGLAND
MAY67899OtherBLUE CROSS BLUE SHIELD
MA0333352Medicaid
MA24189OtherHEALTH NEW ENGLAND
MA0333352Medicaid