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

Ryley White

Individual provider Behavior Technician · NPI 1356046213

Ryley White is a Physician Assistant in Fort Gratiot, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1501 Krafft Rd
Fort Gratiot, MI 48059-3565
Phone: (248) 979-6852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601014005 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1356046213
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2023
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address3440 South Blvd, Bloomfield Hills, MI 48304-1156

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Fort Gratiot