Active NPI
Therapy House, PLLC
- Occupational Therapist
- Hertford, NC
National Provider Identifier
1023035755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5976
- Legal business name
- THERAPY HOUSE, PLLC
- Practice address
- 344 Lake Rd
Hertford, NC 27944-8775 - Phone
- (252) 426-9907
- Fax
- (252) 426-9909
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Keri Petrea Paul
- Title
- Billing
- Phone
- (252) 426-9907
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5976 | NC | Primary |
Addresses
Primary practice location
344 Lake Rd
Hertford, NC 27944-8775
Mailing address
344 Lake Rd
Hertford, NC 27944-8775
Phone (252) 426-9907
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7212046 | Medicaid | NC | |
| 14230 | Other | NC | BCBS |
| 7301921 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1141 N Road St
Ste A
Elizabeth Cty, NC 27909
Phone (252) 331-6818
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Hertford, NC
- NPI 1598381014
-
- Speech-Language Pathologist
- Elizabeth City, NC
- NPI 1134455793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470960000000",
"number": "1023035755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 LAKE RD",
"city": "HERTFORD",
"state": "NC",
"postal_code": "279448775",
"telephone_number": "252-426-9907",
"fax_number": "252-426-9909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 LAKE RD",
"city": "HERTFORD",
"state": "NC",
"postal_code": "279448775",
"telephone_number": "252-426-9907",
"fax_number": "252-426-9909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY HOUSE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2016-08-12",
"status": "A",
"authorized_official_last_name": "PAUL",
"authorized_official_first_name": "KERI",
"authorized_official_middle_name": "PETREA",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "252-426-9907",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NC",
"license": "5976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7212046",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14230",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301921",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hertford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.