Provider Demographics
NPI:1164150314
Name:MURPHY, RYAN (DPT)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13024 EASTFIELD RD STE A600
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-6604
Mailing Address - Country:US
Mailing Address - Phone:980-288-5440
Mailing Address - Fax:704-727-0946
Practice Address - Street 1:13024 EASTFIELD RD STE A600
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6604
Practice Address - Country:US
Practice Address - Phone:980-288-5440
Practice Address - Fax:704-727-0946
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049024225100000X
NCP22699225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist