Provider Demographics
NPI:1518087824
Name:TRI THERAPY EAST
Entity Type:Organization
Organization Name:TRI THERAPY EAST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:FEREBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-756-3099
Mailing Address - Street 1:700B CROMWELL DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5852
Mailing Address - Country:US
Mailing Address - Phone:252-756-3099
Mailing Address - Fax:252-756-0667
Practice Address - Street 1:700B CROMWELL DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5852
Practice Address - Country:US
Practice Address - Phone:252-756-3099
Practice Address - Fax:252-756-0667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300132Medicaid