Jennie Murray, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P21592 Issued in NC

Practice address

616 N Broome Street
Suite 103
Waxhaw, NC 28173

Phone

(704) 243-8488

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Matrix Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Larkspur, CA
  • NPI 1700821626
  NPD (past)
• Matrix Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1730124116
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1124120282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281731002",
            "telephone_number": "415-847-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N BROOME STREET",
            "address_2": "SUITE 103",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "28173",
            "telephone_number": "704-243-8488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Larkspur Landing Cir",
            "address_purpose": "LOCATION",
            "city": "Larkspur",
            "state": "CA",
            "postal_code": "949391834",
            "country_code": "US",
            "telephone_number": "415-461-8233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1808 Empire Industrial Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954037404",
            "country_code": "US",
            "telephone_number": "415-847-2372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 Farmers Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954056712",
            "country_code": "US",
            "telephone_number": "707-578-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "JENNIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29856",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Mackenzie Moore, DDS
• Ashlie Rochelle Moore
• Sarah Ann Morgan, OTD, OTR/L
• Ryan Jamison Motte, PHARMD
• Lauren Jennifer Mullan, M.A., OTR/L
• Claire Ilana Mutka
• Ashley White Myers, PT, DPT
• Jerome Richard Myles, MA
• N Mahale DDS PLLC
• Naina Mahale DDS PLLC

• Physical Therapist in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.