NPIMap

Organization Active NPI

Penemarie K Murphy, Inc

Doing business as Physical Therapy Services

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1780762096
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
225100000X Issued in FL
Legal business name
PENEMARIE K MURPHY, INC
Doing business as
Physical Therapy Services
Practice address
7001 Merrill Rd
Suite 27
Jacksonville, FL 32277-3005
Phone
(904) 744-0277
Fax
(904) 744-0263
NPI assigned
Nov 2, 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.NPI 1538160007
Title
President
Phone
(904) 645-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7001 Merrill Rd
Suite 27
Jacksonville, FL 32277-3005

Mailing address

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

Other identifiers 5

IdentifierTypeStateIssuer
880295500MedicaidFL
162113800OtherFLDEPT OF LABOR
Y909ROtherFLBCBS
5490100OtherFLAETNA
102330OtherFLAVMED

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.

Practitioners & affiliated clinicians

Practitioners 3

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1780762096",
    "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": "7001 MERRILL RD",
            "address_2": "SUITE 27",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322773005",
            "telephone_number": "904-744-0277",
            "fax_number": "904-744-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENEMARIE K MURPHY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "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": "FL",
            "license": "225100000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880295500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "162113800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y909R",
            "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"
        }
    ],
    "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.