Kristina R Murphy, PT, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305006707 Issued in VA

Practice address

12825 Minnieville Rd Ste 201
Lake Ridge, VA 22192-3602

Phone

(703) 647-3130

NPI assigned

May 5, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristina L Rutherford Former name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1417181512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12825 MINNIEVILLE RD STE 201",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221923602",
            "telephone_number": "703-647-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12825 MINNIEVILLE RD STE 201",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221923602",
            "telephone_number": "703-647-3130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3914 Centreville Rd",
            "address_2": "Suite 240",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201513289",
            "country_code": "US",
            "telephone_number": "703-689-2251",
            "fax_number": "703-689-2254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KRISTINA",
        "middle_name": "R",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "RUTHERFORD",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mina T Mostofi, DMD
• Megan Riley Murphy, AUD
• Thao Phuong Nguyen, PHARMD
• Ashley Norman, PT, DPT
• Aldous Peter Joshua Baroro Odulio, PT
• Lilly Maire Ortega Torres, EMT

• Physical Therapist in Lake Ridge, VA
• Providers in Lake Ridge, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.