Individual provider Active NPI

Matthew Murray

  • Orthopedic Physical Therapist
  • Santa Cruz, CA
National Provider Identifier
1194281204
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT293738 Issued in CA
Practice address
8030 Soquel Ave Ste 200
Santa Cruz, CA 95062-2096
Phone
(831) 464-8200
NPI assigned
Feb 13, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT23062 MA
Orthopedic Physical Therapist 2251X0800X PT293738 CA Primary

Addresses

Primary practice location

8030 Soquel Ave Ste 200
Santa Cruz, CA 95062-2096

Mailing address

8030 Soquel Ave Ste 200
Santa Cruz, CA 95062-2096

Other practice location 1

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979

Other practice location 2

2560 Colorado Blvd
Los Angeles, CA 90041-1005
Phone (323) 255-5409

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200804001459 MA Practitioner - Physical Therapist in Private Practice 1254763311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT293738CAMDOrthopedic Physical Therapist
PT23062MAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy Inc Orthopedic CurrentSince Jul 22, 2020 Accepting new patients
Massachusetts Luna Care Physical Therapy LLC Orthopedic CurrentSince Dec 1, 2021 Accepting new patients

Locations

10 Post Office Sq
Ste 800
Boston, MA 02109
Phone (617) 231-0011

501 John Mahar Hwy
Ste 200
Braintree, MA 02184
Phone (781) 384-0500

99 Longwater Cir
Ste 201
Norwell, MA 02061
Phone (781) 347-4686

2300 Crown Colony Dr
Ste 102
Quincy, MA 02169
Phone (781) 986-0990

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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1194281204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 SOQUEL AVE STE 200",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 SOQUEL AVE STE 200",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622096",
            "telephone_number": "831-464-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2560 Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900411005",
            "country_code": "US",
            "telephone_number": "323-255-5409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-13",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "PT23062",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT293738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.