Active NPI
Angela Kay Murphy
- Developmental Therapist
- Peoria, IL
National Provider Identifier
1508987264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- AM53250606P
- Practice address
- 1913 W Townline Rd
Peoria, IL 61615-1621 - Phone
- (309) 691-3800
- Fax
- (309) 689-3613
- NPI assigned
- Apr 2, 2007
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | AM53250606P | IL | Primary |
Addresses
Primary practice location
1913 W Townline Rd
Peoria, IL 61615-1621
Mailing address
1913 W Townline Rd
PO Box 3418
Peoria, IL 61615-1621
Phone (309) 691-3800
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 |
|---|---|---|---|
| AM53250606P | IL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508987264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 W TOWNLINE RD",
"address_2": "PO BOX 3418",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151621",
"telephone_number": "309-691-3800",
"fax_number": "309-689-3613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 W TOWNLINE RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151621",
"telephone_number": "309-691-3800",
"fax_number": "309-689-3613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "ANGELA",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "AM53250606P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.