Active NPI
Carly Murray, DPT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1285956763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305206370
- Practice address
- 2224 Virginia Beach Blvd
Suite 106
Virginia Beach, VA 23454-4285 - Phone
- (757) 486-8663
- Fax
- (757) 486-2650
- NPI assigned
- Feb 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305206370 | VA | Primary |
Addresses
Primary practice location
2224 Virginia Beach Blvd
Suite 106
Virginia Beach, VA 23454-4285
Mailing address
2224 Virginia Beach Blvd
Suite 106
Virginia Beach, VA 23454-4285
Phone (757) 486-8663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00901165 | Other | RAILROAD MEDICARE |
Other names 1
- Carly Geronimo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100611000119 | VA | Practitioner - Physical Therapist in Private Practice | 9436289840 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2224 Virginia Beach Blvd
Suite 106
Virginia Beach, VA 23454-4285
Phone (757) 486-8663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305206370 | VA | MD | Physical Therapist |
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": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1285956763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 VIRGINIA BEACH BLVD",
"address_2": "SUITE 106",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544285",
"telephone_number": "757-486-8663",
"fax_number": "757-486-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2224 VIRGINIA BEACH BLVD",
"address_2": "SUITE 106",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544285",
"telephone_number": "757-486-8663",
"fax_number": "757-486-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "CARLY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305206370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00901165",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLY",
"last_name": "GERONIMO",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.