Provider Demographics
NPI:1407004989
Name:THERAPLAY JUNCTION INC
Entity Type:Organization
Organization Name:THERAPLAY JUNCTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CATHRYN
Authorized Official - Middle Name:LUCY
Authorized Official - Last Name:GOULD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:252-672-8680
Mailing Address - Street 1:2994 OLD AIRPORT RD.
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562
Mailing Address - Country:US
Mailing Address - Phone:252-672-8680
Mailing Address - Fax:252-637-4812
Practice Address - Street 1:2994 OLD AIRPORT RD.
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562
Practice Address - Country:US
Practice Address - Phone:252-672-8680
Practice Address - Fax:252-637-4812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7316225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7212013Medicaid