Individual provider Active NPI

Kevin Nelson Murat, DC, ATC

  • Athletic Trainer
  • Stamford, CT
National Provider Identifier
1194223057
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
001066 Issued in CT
Practice address
75 Selleck St
Stamford, CT 06902-7207
Phone
(203) 149-6356
NPI assigned
Jan 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2185 CT
Athletic Trainer 2255A2300X 001066 CT Primary

Addresses

Primary practice location

75 Selleck St
Stamford, CT 06902-7207

Mailing address

2289 Bedford St Unit D7
Stamford, CT 06905-3911
Phone (203) 816-7073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001066CTMDChiropractor
2185CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atp Past Accepting new patients
Advanced Therapy and Performance LLC Past Accepting new patients

Organizations & group practices 2

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1194223057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2289 BEDFORD ST UNIT D7",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069053911",
            "telephone_number": "203-816-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SELLECK ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027207",
            "telephone_number": "203-149-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURAT",
        "first_name": "KEVIN",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "DC, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2185",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "001066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.