1558849554 NPI number — EMILY LOUISE MURPHY MSOT

Table of content: EMILY LOUISE MURPHY MSOT (NPI 1558849554)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558849554 NPI number — EMILY LOUISE MURPHY MSOT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MURPHY
Provider First Name:
EMILY
Provider Middle Name:
LOUISE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSOT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558849554
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/10/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5105
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELFAST
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04915-5100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-332-3800
Provider Business Mailing Address Fax Number:
910-251-0421

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1168 E CUTLAR XING
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LELAND
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28451-6484
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-332-3800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  OC015861 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X , with the licence number: 13935 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 13935 . This is a "OCCUPATIONAL THERAPY LICENSE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: OC015861 . This is a "OCCUPATIONAL THERAPY LICENSE FOR PA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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