MEDICARE: DR. PJ PHILIP MORRISON DPT

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	11665	SC
2	225100000X	Physical Therapist	17779	NC

General Provider Information

NPI Number	:	1477875185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PJ PHILIP MORRISON DPT

Provider Business Mailing Address
First Line	:	1111 MILLSTREAM CT
Second Line	:
City	:	LELAND
State	:	NC
Zip	:	28451-7463
Country	:	US
Telephone Number	:	443-907-7539
Fax Number	:

Provider Business Practice Location Address
First Line	:	1021 2ND AVE N STE 6
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-3200
Country	:	US
Telephone Number	:	843-286-5168
Fax Number	:

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

Provider Enumeration Date	:	02/22/2010
Last Update Date	:	02/20/2026

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