Provider Demographics
NPI:1821434507
Name:HERRINGTON, PATRICIA RAIZEL UMALI (PT)
Entity type:Individual
Prefix:
First Name:PATRICIA RAIZEL
Middle Name:UMALI
Last Name:HERRINGTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:PATRICIA RAIZEL
Other - Middle Name:SY
Other - Last Name:UMALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5642 WEBB LAKE RD
Mailing Address - Street 2:
Mailing Address - City:ELM CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27822-8391
Mailing Address - Country:US
Mailing Address - Phone:704-654-1564
Mailing Address - Fax:
Practice Address - Street 1:5642 WEBB LAKE RD
Practice Address - Street 2:
Practice Address - City:ELM CITY
Practice Address - State:NC
Practice Address - Zip Code:27822-8391
Practice Address - Country:US
Practice Address - Phone:704-654-1564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
NCP14241225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist