Kopper Top Life Learning Center, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

196 Issued in NC

Legal business name

KOPPER TOP LIFE LEARNING CENTER, INC.

Practice address

6657 Kimesville Rd
Liberty, NC 27298-9108

Phone

(336) 565-9723

Fax

(336) 565-0644

NPI assigned

Jan 23, 2009

Last updated

Jan 23, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deborah Ellen Meridith, LRT/CTRSNPI 1295069235

Title

Executive Director/Rec. Therapist

Phone

(336) 565-9723

Specialties & licenses 1

Addresses

Other names 1

• Kopper Top Therapeutic Riding Center, Inc. Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah E Meridith, LRT/CTRS

  • Recreation Therapist
  • Liberty, NC
  • NPI 1295069235
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1043458383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6657 KIMESVILLE RD",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272989108",
            "telephone_number": "336-565-9723",
            "fax_number": "336-565-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6657 KIMESVILLE RD",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272989108",
            "telephone_number": "336-565-9723",
            "fax_number": "336-565-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPPER TOP LIFE LEARNING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "MERIDITH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/REC. THERAPIST",
        "authorized_official_telephone_number": "336-565-9723",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LRT/CTRS"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NC",
            "license": "196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kopper Top Therapeutic Riding Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Philip J. Karam, M.D.
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• Voluntary or Charitable Agency in Liberty, NC
• Providers in Liberty, NC by specialty
• Voluntary or Charitable Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.