Provider Demographics
NPI:1467417303
Name:MCGUIRE, PHILIPPA JOY (PT)
Entity Type:Individual
Prefix:MRS
First Name:PHILIPPA
Middle Name:JOY
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:PHILIPPA
Other - Middle Name:JOY
Other - Last Name:LOWNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3420 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-5676
Mailing Address - Country:US
Mailing Address - Phone:850-215-8844
Mailing Address - Fax:850-215-6644
Practice Address - Street 1:3420 E 15TH ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-5676
Practice Address - Country:US
Practice Address - Phone:850-215-8844
Practice Address - Fax:850-215-6644
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT2505225100000X
FLPT38427225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME290050099Medicaid
043325OtherBCBS
2841289OtherAETNA
ME290050099Medicaid