Active NPI
Ebony Nicole Therrier, DPT
- Physical Therapist
- Easton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH5706
- Practice address
- 2222 Sullivan TRL
Easton, PA 18040-7958 - Phone
- (800) 944-9782
- NPI assigned
- Jul 28, 2011
- Last updated
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P19788 | NC | |
| Physical Therapist | 225100000X | PT8590 | SC | |
| Physical Therapist | 225100000X | PTH5706 | AL | Primary |
Addresses
Primary practice location
2222 Sullivan TRL
Easton, PA 18040-7958
Mailing address
385 S Revere CV Apt 108
Tega Cay, SC 29708-8696
Phone (706) 267-8577
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTH 5706 | Other | AL | PROFESSIONAL LICENSE |
| 058494112 | Other | GA | DRIVER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical College of Georgia School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11945 Providence Rd
Charlotte, NC 28277-4454
Phone (980) 245-2676
7745 Little Ave
Charlotte, NC 28226-8168
Phone (704) 541-9333
980 Chestnut LN
Matthews, NC 28104-8543
Phone (980) 585-9293
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P19788 | NC | MD | Physical Therapist |
| PT8590 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group Inc. | Physical Therapist | Current | Accepting new patients |
| The Weston Group Inc | Physical Therapist | Current | Accepting new patients |
| Champion Rehab Resources, LLC | Physical Therapist | Past | Accepting new patients |
Locations
872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Matthews, NC
- NPI 1992689582
-
- Physical Therapist
- Bluffton, SC
- NPI 1073957064
-
- Physical Therapist
- Easton, PA
- NPI 1750250759
-
- Physical Therapist
- Vestavia, AL
- NPI 1003437906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1558649335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 S REVERE CV APT 108",
"city": "TEGA CAY",
"state": "SC",
"postal_code": "297088696",
"telephone_number": "706-267-8577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 SULLIVAN TRL",
"city": "EASTON",
"state": "PA",
"postal_code": "180407958",
"telephone_number": "800-944-9782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THERRIER",
"first_name": "EBONY",
"middle_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-28",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19788",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "PT8590",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH5706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "PTH 5706",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "058494112",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, PA
- The Weston Group Inc.
- The Weston Group, Inc.
- The Womens Institute for Gynecologic Cancer & Special Pelvic Surgery
- Shannon Christine Theobald-Galgano, MD
- Nicholas Theodorou, ND
- Third Street Alliance (Sharing the Caring Adult Day Services center)
- Thomas H Gulick MD PC
- Thomas Peacock MD
- Jamie L. Thomas, D.O.
- Sabrina Mary Thomas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.