Healthcare Provider Details

I. General information

NPI: 1467510941
Provider Name (Legal Business Name): JOHN V MURPHY PHYSICAL THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1971 WESTERN AVE
ALBANY NY
12203-5066
US

IV. Provider business mailing address

1971 WESTERN AVE
ALBANY NY
12203-5066
US

V. Phone/Fax

Practice location:
  • Phone: 518-869-6220
  • Fax: 518-872-2949
Mailing address:
  • Phone: 518-869-6220
  • Fax: 518-872-2949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE A VANAVERY-ALBERT
Title or Position: OFFICE MANAGER
Credential:
Phone: 518-872-2924