Provider Demographics
NPI:1215232988
Name:MURPHY, ALLYSON MARIE (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:ALLYSON
Middle Name:MARIE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:ALLYSON
Other - Middle Name:MARIE
Other - Last Name:MORIARTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:2663 WESTCHESTER DR N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-3026
Mailing Address - Country:US
Mailing Address - Phone:413-636-2069
Mailing Address - Fax:
Practice Address - Street 1:2663 WESTCHESTER DR N
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-3026
Practice Address - Country:US
Practice Address - Phone:413-636-2069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-11
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003147000Medicaid