Organization Active NPI

Therapy House, PLLC

  • Occupational Therapist
  • Hertford, NC
National Provider Identifier
1023035755
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5976 Issued in NC
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

Updated by the provider on Aug 12, 2016

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7212046MedicaidNC
14230OtherNCBCBS
7301921MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.