Provider Demographics
NPI:1891408167
Name:MURPHY, JOHN PATRICK SR (PT)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:PATRICK
Last Name:MURPHY
Suffix:SR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6986 PALMETTO CIR S APT 607
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3508
Mailing Address - Country:US
Mailing Address - Phone:561-445-6338
Mailing Address - Fax:
Practice Address - Street 1:5055 S. CONGEESS AVE.
Practice Address - Street 2:SUITE 301
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-3346
Practice Address - Country:US
Practice Address - Phone:561-963-8109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT183162251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic