Crystal Perry, OTR/L

Individual provider Active NPI Occupational Therapist · Eure, NC

NPI 1962872036 · NPPES record last updated Oct 1, 2015

Key facts

NPI
1962872036
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
6442 (NC)
Practice address
240 Tinkham Rd
Eure, NC 27935-9764
Phone
(252) 395-1571
NPI assigned
Oct 1, 2015
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6442NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Carolina Occupational Therapy, PA Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6442 NC Yes

Addresses

Primary practice location

240 Tinkham Rd
Eure, NC 27935-9764

Mailing address

240 Tinkham Rd
Eure, NC 27935-9764

Other providers in Eure, NC

All providers in Eure, NC · Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.