Provider Demographics
NPI:1497473227
Name:PHIRST PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:PHIRST PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:BRIDDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-367-1118
Mailing Address - Street 1:PO BOX 1217
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21802-1217
Mailing Address - Country:US
Mailing Address - Phone:252-367-1118
Mailing Address - Fax:443-365-2730
Practice Address - Street 1:200 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SNOW HILL
Practice Address - State:MD
Practice Address - Zip Code:21863-1054
Practice Address - Country:US
Practice Address - Phone:443-234-5132
Practice Address - Fax:443-365-2730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy