Provider Demographics
NPI:1740352665
Name:CHILDREN'S THERAPY ASSOCIATES
Entity type:Organization
Organization Name:CHILDREN'S THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENIOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-933-7720
Mailing Address - Street 1:1514 ARTHUR MINNIS RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-7493
Mailing Address - Country:US
Mailing Address - Phone:919-933-7720
Mailing Address - Fax:919-932-7215
Practice Address - Street 1:1514 ARTHUR MINNIS RD
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-7493
Practice Address - Country:US
Practice Address - Phone:919-933-7720
Practice Address - Fax:919-932-7215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7212047Medicaid