Individual provider Active NPI

Destiny Nemeth Murphy, DO

  • Neurology Physician
  • Shrewsbury, MA
National Provider Identifier
1366609315
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
239021 Issued in MA
Practice address
166 South St
Stroke and Brain Injury Rehabilitation, Inc.
Shrewsbury, MA 01545-5402
Phone
(508) 842-3935
Fax
(508) 842-3927
NPI assigned
May 19, 2008
Last updated
Sep 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 239021 MA Primary

Addresses

Primary practice location

166 South St
Stroke and Brain Injury Rehabilitation, Inc.
Shrewsbury, MA 01545-5402

Mailing address

130 Gaston St
Medford, MA 02155-1222
Phone (419) 565-7871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140311001108 MA Practitioner - Neurology 9537399688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Rehab Way
Woburn, MA 01801-6003
Phone (419) 565-7871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
239021MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Destiny N Murphy Neurology Consulting LLC Neurology CurrentSince Feb 1, 2016 Accepting new patients

Locations

110 Winn St
Ste 104
Woburn, MA 01801

2 Rehabilitation Way
Woburn, MA 01801
Phone (781) 935-5050

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1366609315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GASTON ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551222",
            "telephone_number": "419-565-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 SOUTH ST",
            "address_2": "STROKE AND BRAIN INJURY REHABILITATION, INC.",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455402",
            "telephone_number": "508-842-3935",
            "fax_number": "508-842-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "DESTINY",
        "middle_name": "NEMETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "239021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

Verify at the official NPI Registry.