Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMY JO SHEKETOFF WHITE PT, DPT
NPI 1104437607
Physical Therapist in Bristol, CT

Active since August 10, 2020
641 CLARK AVE, BRISTOL, CT 06010(860) 582-0389(860) 582-3607 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Aug 10, 2020 (2 updates tracked since 2020).

About Amy Jo Sheketoff White Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY JO SHEKETOFF WHITE PT, DPT (NPI 1104437607) is an individual physical therapist in Bristol, Connecticut and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1104437607
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameAMY JO SHEKETOFF WHITECredential: PT, DPT
Location Address641 CLARK AVEBristol, CT 06010-4068
Mailing Address75 Cherry Hill RdFairfield, CT 06825-1005 · (203) 331-7976
Fax(860) 582-3607
Sole ProprietorNo
Enumeration DateAugust 10, 2020
Last NPPES UpdateOctober 15, 20262 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1104437607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
641 CLARK AVE, Bristol, CT 06010

Other Names 1

Professional Name (2)Amy Jo Sheketoff Pt, Dpt

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Jo Sheketoff White Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amy Jo White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
641 CLARK AVE
Bristol, CT 06010
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
641 CLARK AVE
BRISTOL, CT 06010
Orthopaedic Surgery
641 CLARK AVE
BRISTOL, CT 06010
Physical Therapist
641 CLARK AVE
BRISTOL, CT 06010
Orthopaedic Surgery
641 CLARK AVE
BRISTOL, CT 06010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Jo White's NPI number?

The NPI number for Amy Jo White is 1104437607. It was assigned to this individual provider in the NPPES registry on August 10, 2020. The provider is also known as Amy Jo Sheketoff Pt, Dpt.

Where is Amy Jo White located?

Amy Jo White practices at 641 Clark Ave, Bristol, CT 06010. The listed phone number is (860) 582-0389.

What is Amy Jo White's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Amy Jo White enrolled in Medicare?

Yes. Amy Jo White is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Jo White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Jo White reassigns Medicare benefits to Bristol Orthopaedics LLC (Bristol, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Jo White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Jo White was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.