Active NPI
Shelli Dean McMurray, P.T.A.
- Physical Therapy Assistant
- Austin, TX
National Provider Identifier
1245561760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2102529
- Practice address
- 1913 E Cesar Chavez St
Austin, TX 78702-4501 - Phone
- (541) 580-6590
- NPI assigned
- Jan 22, 2010
- Last updated
- Feb 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | P1 60048751 | WA | |
| Physical Therapy Assistant | 225200000X | 8270 | OR | |
| Physical Therapy Assistant | 225200000X | PTA 21241 | FL | |
| Physical Therapy Assistant | 225200000X | 2102529 | TX | Primary |
Addresses
Primary practice location
1913 E Cesar Chavez St
Austin, TX 78702-4501
Mailing address
1913 E Cesar Chavez St
Austin, TX 78702-4501
Phone (541) 580-6590
Other practice location 1
3108 W Moose Dr
Roseburg, OR 97471-2444
Phone (541) 580-6590
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 21241 | FL | MD | Physical Therapy Assistant |
| 2102529 | TX | MD | Physical Therapy Assistant |
| P1 60048751 | WA | MD | Physical Therapy Assistant |
| 8270 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1245561760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 E CESAR CHAVEZ ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787024501",
"telephone_number": "541-580-6590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 E CESAR CHAVEZ ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787024501",
"telephone_number": "541-580-6590"
}
],
"practiceLocations": [
{
"address_1": "3108 W Moose Dr",
"address_purpose": "LOCATION",
"city": "Roseburg",
"state": "OR",
"postal_code": "974712444",
"country_code": "US",
"telephone_number": "541-580-6590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMURRAY",
"first_name": "SHELLI",
"middle_name": "DEAN",
"credential": "P.T.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-22",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "P1 60048751",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "8270",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 21241",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2102529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.