MEDICARE: DOROTHEA WALTZ MURPHY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT8139	MS

General Provider Information

NPI Number	:	1073459152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOROTHEA WALTZ MURPHY PT

Provider Business Mailing Address
First Line	:	821 AUBURN DR
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39532-3217
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 CEDAR LAKE RD STE S
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39532-2107
Country	:	US
Telephone Number	:	228-641-2880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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