Active NPI
Jeremy Scott Murray
- Orthotist
- Warren, MI
National Provider Identifier
1578741930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CO004664
- Practice address
- 11012 E 13 Mile Rd
Ste 210
Warren, MI 48093-2572 - Phone
- (586) 573-8890
- NPI assigned
- Feb 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CO004664 | MI | Primary |
| Occupational Therapist | 225X00000X | 5201006044 | MI |
Addresses
Primary practice location
11012 E 13 Mile Rd
Ste 210
Warren, MI 48093-2572
Mailing address
138 Hill St
Milford, MI 48381-2043
Phone (586) 573-8890
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 |
|---|---|---|---|
| CO004664 | MI | MD | Orthotist |
| 5201006044 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1578741930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 HILL ST",
"city": "MILFORD",
"state": "MI",
"postal_code": "483812043",
"telephone_number": "586-573-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11012 E 13 MILE RD",
"address_2": "STE 210",
"city": "WARREN",
"state": "MI",
"postal_code": "480932572",
"telephone_number": "586-573-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "JEREMY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-07",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "MI",
"license": "CO004664",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201006044",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.