Active NPI
Christina Terese Murray, PT
- Pediatric Physical Therapist
- Crystal Lake, IL
National Provider Identifier
1548557887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 070017986
- Practice address
- 394 Federal Dr
Crystal Lake, IL 60014-6281 - Phone
- (815) 459-3810
- NPI assigned
- Jul 7, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 070017986 | IL | Primary |
Addresses
Primary practice location
394 Federal Dr
Crystal Lake, IL 60014-6281
Mailing address
233 Dartmoor Dr
Crystal Lake, IL 60014-8607
Phone (815) 236-3292
Other names 1
- Christina Terese Nystrom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Current | Accepting new patients | |
| Comprehensive Therapeutics LTD | Current | Accepting new patients |
Locations
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
536 Old Howell Rd
Greenville, SC 29615
Phone (877) 508-3237
Organizations & group practices 2
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.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1548557887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 DARTMOOR DR",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600148607",
"telephone_number": "815-236-3292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 FEDERAL DR",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146281",
"telephone_number": "815-459-3810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "CHRISTINA",
"middle_name": "TERESE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "IL",
"license": "070017986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "NYSTROM",
"middle_name": "TERESE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.