Active NPI
Lacy Jill McMurtrey, PT, DPT
- Physical Medicine & Rehabilitation Physician
- Big Spring, TX
National Provider Identifier
1497217830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1305209
- Practice address
- 306 W 3Rd St
Big Spring, TX 79720-2429 - Phone
- (432) 267-3806
- Fax
- (432) 267-3809
- NPI assigned
- Apr 4, 2019
- 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 Medicine & Rehabilitation Physician | 208100000X | 1305209 | TX | Primary |
Addresses
Primary practice location
306 W 3Rd St
Big Spring, TX 79720-2429
Mailing address
306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00L09G | Other | TX | BCBS TEXAS |
| 021635001 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1305209 | TX | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1497217830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 W 3RD ST",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797202429",
"telephone_number": "432-267-3806",
"fax_number": "432-267-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 W 3RD ST",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797202429",
"telephone_number": "432-267-3806",
"fax_number": "432-267-3809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMURTREY",
"first_name": "LACY",
"middle_name": "JILL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "1305209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TEXAS",
"identifier": "00L09G",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021635001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Big Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.