Individual provider Active NPI

Clay D Murphy, DPT

  • Physical Therapist
  • Perryville, AR
National Provider Identifier
1043702558
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4452 Issued in AR
Practice address
236 Houston Ave
Perryville, AR 72126-8568
Phone
(501) 889-1900
NPI assigned
May 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4452 AR Primary

Addresses

Primary practice location

236 Houston Ave
Perryville, AR 72126-8568

Mailing address

236 Houston Ave
Perryville, AR 72126-8568
Phone (501) 889-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180824001865 AR Practitioner - Physical Therapist in Private Practice 4981953890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KNH LLCGroup PAC ID 0244498475, 5 clinicians

Practice addresses (Care Compare)

236 Houston Ave
Perryville, AR 72126-8568
Phone 50188919001

635 Dave Ward Dr
104 Elite Physical Therapy
Conway, AR 72034-7146
Phone (501) 205-4695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4452ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
KNH LLC Physical Therapist CurrentSince May 29, 2018 Accepting new patients

Locations

635 Dave Ward Dr
Ste 104
Conway, AR 72034
Phone (501) 205-4695

236 Houston Ave
Perryville, AR 72126
Phone (501) 889-1900

130 Houston Ave
Ste C
Perryville, AR 72126
Phone (501) 889-1900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1043702558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 HOUSTON AVE",
            "city": "PERRYVILLE",
            "state": "AR",
            "postal_code": "721268568",
            "telephone_number": "501-889-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 HOUSTON AVE",
            "city": "PERRYVILLE",
            "state": "AR",
            "postal_code": "721268568",
            "telephone_number": "501-889-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "CLAY",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.