Derek James Murphy, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

013833-01 Issued in NY

Practice address

124 County Highway 52
Cooperstown, NY 13326-4917

Phone

(607) 547-7830

NPI assigned

Apr 4, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mary Imogene Bassett Hospital

  • Multi-Specialty Clinic/Center
  • Cooperstown, NY
  • NPI 1083664221
  NPD (past)

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1497507214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 COUNTY HIGHWAY 52",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133264917",
            "telephone_number": "607-547-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 COUNTY HIGHWAY 52",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133264917",
            "telephone_number": "607-547-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "DEREK",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "013833-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian J Mulik, M.D.
• Fawn Shelley Mumbulo, FNP-C
• Ruvarashe Trish Mupedziswa, MD
• William H Murdock
• Angela M Murphy, FNP
• Jeffrey R Murray, M.D.
• Sirisha Nagalla
• Hayden Naizer, MD
• Sandhya P Nakkala, MB,BS
• Matthew Thomas Nasato, MD

• Physical Therapy Assistant in Cooperstown, NY
• Providers in Cooperstown, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.