Active NPI
Elizabeth Ann Murphy, MS OTR/L
- Occupational Therapist
- Black River, NY
National Provider Identifier
1467043273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 025274
- Practice address
- 192 N Main St
Black River, NY 13612-2212 - Phone
- (315) 955-3517
- NPI assigned
- Feb 3, 2021
- Last updated
- Feb 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 025274 | NY | Primary |
Addresses
Primary practice location
192 N Main St
Black River, NY 13612-2212
Mailing address
192 N Main St
Black River, NY 13612-2212
Phone (315) 955-3517
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025274 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1467043273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 N MAIN ST",
"city": "BLACK RIVER",
"state": "NY",
"postal_code": "136122212",
"telephone_number": "315-955-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 N MAIN ST",
"city": "BLACK RIVER",
"state": "NY",
"postal_code": "136122212",
"telephone_number": "315-955-3517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Black River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.