Provider Demographics
NPI:1134761950
Name:RYAN, ALLISON MURPHY (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MURPHY
Last Name:RYAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MURPHY
Other - Last Name:LOWRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:118 LOCH LN
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:NC
Mailing Address - Zip Code:28326-4514
Mailing Address - Country:US
Mailing Address - Phone:404-423-2088
Mailing Address - Fax:
Practice Address - Street 1:10 CAMELIA WAY
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-4828
Practice Address - Country:US
Practice Address - Phone:910-692-9642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT013992225100000X
ALPTH9636225100000X
NCTP21850225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist