Provider Demographics
NPI:1528041126
Name:YARRINGTON PHYSICAL THERAPY & SPORTS CARE, INC
Entity Type:Organization
Organization Name:YARRINGTON PHYSICAL THERAPY & SPORTS CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:YARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:828-452-1306
Mailing Address - Street 1:13 HAYWOOD OFFICE PARK STE 108
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28785-6972
Mailing Address - Country:US
Mailing Address - Phone:828-452-1306
Mailing Address - Fax:
Practice Address - Street 1:13 HAYWOOD OFFICE PARK STE 108
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28785-6972
Practice Address - Country:US
Practice Address - Phone:828-452-1306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-28
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6824225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2349747Medicare PIN