Provider Demographics
NPI:1154499796
Name:FERRIGGI, RICHARD HENRY (DPT)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:HENRY
Last Name:FERRIGGI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 CANTERBURY RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608-1110
Mailing Address - Country:US
Mailing Address - Phone:252-634-2626
Mailing Address - Fax:252-353-5610
Practice Address - Street 1:201 WILLIAMSBURG PKWY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6856
Practice Address - Country:US
Practice Address - Phone:252-634-2626
Practice Address - Fax:252-353-5610
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027348225100000X
NCP19608225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q27281Medicare ID - Type Unspecified