Healthcare Provider Details

I. General information

NPI: 1861301582
Provider Name (Legal Business Name): NEIGHBORHOOD PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 SHADELAND AVE
DREXEL HILL PA
19026-2010
US

IV. Provider business mailing address

164 SHADELAND AVE
DREXEL HILL PA
19026-2010
US

V. Phone/Fax

Practice location:
  • Phone: 631-804-3362
  • Fax:
Mailing address:
  • Phone: 631-804-3362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: COREY JOHN MURPHY
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 631-804-3362