Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corey White, PTA

Individual provider Physical Therapy Assistant · NPI 1225396252

Corey White, PTA is a Physical Therapy Assistant in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1190 N State St Pt Dept
Jackson, MS 39202-2413
Phone: (601) 968-1148
Fax: (601) 968-1337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA4900 (MS)

Record details

NPI number1225396252
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 27, 2012
Last updated in NPPESApril 27, 2012
Mailing address1190 N State St, Pt Department, Jackson, MS 39202-2413

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