Healthcare Provider Details

I. General information

NPI: 1902946296
Provider Name (Legal Business Name): HALLIE MACPHERSON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22317 DUPONT BLVD
GEORGETOWN DE
19947-2153
US

IV. Provider business mailing address

9367 BLIND PASS RD
ST PETE BEACH FL
33706-1369
US

V. Phone/Fax

Practice location:
  • Phone: 302-253-1100
  • Fax: 302-856-7852
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0015077
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT20282
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: