Healthcare Provider Details

I. General information

NPI: 1801421458
Provider Name (Legal Business Name): NEXT STEP IN HOME THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2020
Last Update Date: 03/04/2020
Certification Date: 03/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 W HELGA ST
KILL DEVIL HILLS NC
27948-9625
US

IV. Provider business mailing address

402 W HELGA ST
KILL DEVIL HILLS NC
27948-9625
US

V. Phone/Fax

Practice location:
  • Phone: 850-982-7534
  • Fax:
Mailing address:
  • Phone: 850-982-7534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246Q00000X
TaxonomyPathology Specialist/Technologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER PARKER
Title or Position: OWNER
Credential: PT
Phone: 850-982-7534