Organization Active NPI

Penemarie K Murphy, Inc

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1609947332
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
425 N Lee St
Suite 102
Jacksonville, FL 32204-1127
Phone
(904) 353-9008
Fax
(904) 353-3215
NPI assigned
Nov 13, 2006
Organization subpart
No

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

425 N Lee St
Suite 102
Jacksonville, FL 32204-1127

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
Y908YOtherFLBCBS FL
5490100OtherFLAETNA
102330OtherFLAVMED
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

Other organizations with this tax ID 3

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

Locations

425 N Lee St
Ste 102
Jacksonville, FL 32204
Phone (904) 353-9008

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": "1609947332",
    "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": "425 N LEE ST",
            "address_2": "SUITE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041127",
            "telephone_number": "904-353-9008",
            "fax_number": "904-353-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENEMARIE K MURPHY, INC",
        "organizational_subpart": "NO",
        "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": "Y908Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5490100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "102330",
            "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.