Organization Active NPI

Penemarie K Murphy Inc

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1568533271
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PENEMARIE K MURPHY INC
Practice address
12740 Atlantic Blvd
Suite 2
Jacksonville, FL 32225-6111
Phone
(904) 220-8311
Fax
(904) 220-8313
NPI assigned
Nov 13, 2006
Organization subpart
Yes
Parent organization
PHYSICAL THERAPY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Penemarie Kallas Murphy, P.T.
Title
President
Phone
(904) 645-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

12740 Atlantic Blvd
Suite 2
Jacksonville, FL 32225-6111

Mailing address

PO Box 11677
Jacksonville, FL 32239-1677
Phone (904) 745-0302

Other identifiers 4

IdentifierTypeStateIssuer
Y908WOtherFLBCBS FL
102330OtherFLAVMED
5490100OtherFLAETNA
880295500MedicaidFL

Other names 1

  • Physical Therapy Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Penemarie K Murphy Inc4 organizations share this tax ID, including this one
Part of
Penemarie K Murphy Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12740 Atlantic Blvd
Ste 2
Jacksonville, FL 32225
Phone (904) 220-8311

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1568533271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11677",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322391677",
            "telephone_number": "904-745-0302",
            "fax_number": "904-745-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 ATLANTIC BLVD",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256111",
            "telephone_number": "904-220-8311",
            "fax_number": "904-220-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENEMARIE K MURPHY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICAL THERAPY SERVICES",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "PENEMARIE",
        "authorized_official_middle_name": "KALLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-645-7400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "Y908W",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "102330",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5490100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880295500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.