Provider Demographics
NPI:1184705402
Name:MURPHY, ROBERT A (LPT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:A
Last Name:MURPHY
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1557 GREENSLEAVE CIR
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-2876
Mailing Address - Country:US
Mailing Address - Phone:330-568-1634
Mailing Address - Fax:330-568-1640
Practice Address - Street 1:609 W LIBERTY ST
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425-1750
Practice Address - Country:US
Practice Address - Phone:330-534-8500
Practice Address - Fax:330-534-3926
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT006022225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH34187731101OtherBWC
OH214506OtherHEALTH AMERICA/HEALTH
OH34187731100OtherBWC
OH6497047OtherUNITED HEALTH CARE
OH000000141053OtherANTHEM
OH2158963Medicaid
OH6497047OtherUNITED HEALTH CARE
OH2158963Medicaid
MU0865461Medicare ID - Type Unspecified