Deborah E Meridith, LRT/CTRS – Recreation Therapist

Key facts

NPI: 1295069235
Entity type: Individual (NPI type 1)
Primary specialty: Recreation Therapist 225800000X
License: 196 (NC)
Practice address: 6657 Kimesville Rd
Liberty, NC 27298-9108
Phone: (336) 565-9723
Fax: (336) 565-0644
NPI assigned: Sep 23, 2009
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Kopper Top Life Learning Center, Inc. Voluntary or Charitable Agency · Liberty, NC · NPI 1043458383

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
196	NC	MD	Recreation Therapist

Practice roles

Organization	Specialty	Status	New patients
Kopper Top Life Learning Center, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Recreation Therapist	225800000X	196	NC	Yes

Addresses

Primary practice location

6657 Kimesville Rd
Liberty, NC 27298-9108

Mailing address

6657 Kimesville Rd
Liberty, NC 27298-9108
Phone (336) 565-9723

Other providers in Liberty, NC

All providers in Liberty, NC · Recreation Therapist in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.