Individual provider Active NPI

Amy Jo Murray, OTR/L

  • Occupational Therapist
  • Bradenton, FL
National Provider Identifier
1427383660
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
21318 Issued in FL
Practice address
11812 Hancock Dr
Bradenton, FL 34211-3430
Phone
(651) 206-8349
NPI assigned
Oct 6, 2009
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 103791 MN
Occupational Therapist 225X00000X 21318 FL Primary

Addresses

Primary practice location

11812 Hancock Dr
Bradenton, FL 34211-3430

Mailing address

11812 Hancock Dr
Bradenton, FL 34211-3430
Phone (651) 206-8349

Other practice location 1

4415 W 36 1/2 St
St Louis Park, MN 55416-4854
Phone (952) 927-9717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119001348 FL Practitioner - Occupational Therapist in Private Practice 5092128728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5424 Lena Rd
Bradenton, FL 34211-9448
Phone (941) 263-3098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21318FLMDOccupational Therapist
103791MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Mobile Wellness and Therapy LLC Occupational Therapist CurrentSince Sep 1, 2024 Accepting new patients
Low Vision Works of Florida LLC Occupational Therapist CurrentSince Jan 1, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Jan 10, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Jan 10, 2025 Accepting new patients

Locations

5424 Lena Rd
Lakewood Ranch, FL 34211
Phone (850) 380-4657

3938 Tamiami Trl
Sarasota, FL 34231
Phone (866) 989-1114

Organizations & group practices 4

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": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1427383660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11812 HANCOCK DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342113430",
            "telephone_number": "651-206-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11812 HANCOCK DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342113430",
            "telephone_number": "651-206-8349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4415 W 36 1/2 St",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554164854",
            "country_code": "US",
            "telephone_number": "952-927-9717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "AMY",
        "middle_name": "JO",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103791",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.

Verify at the official NPI Registry.