Healthcare Provider Details

I. General information

NPI: 1073459152
Provider Name (Legal Business Name): DOROTHEA WALTZ MURPHY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 CEDAR LAKE RD STE S
BILOXI MS
39532-2107
US

IV. Provider business mailing address

821 AUBURN DR
BILOXI MS
39532-3217
US

V. Phone/Fax

Practice location:
  • Phone: 228-641-2880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT8139
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: