Individual provider Active NPI

Nathaniel Arthur Murray, PT, DPT, MS

  • Physical Therapist
  • St Louis Park, MN
National Provider Identifier
1629683180
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11993 Issued in MN
Practice address
5525 Cedar Lake Rd S
St Louis Park, MN 55416-1420
Phone
(952) 541-7171
NPI assigned
Sep 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11993 MN Primary

Addresses

Primary practice location

5525 Cedar Lake Rd S
St Louis Park, MN 55416-1420

Mailing address

4021 21St Ave S
Minneapolis, MN 55407-3071
Phone (920) 419-2078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201124000212 MN Practitioner - Physical Therapist in Private Practice 6709297708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Luna Care Physical Therapy LLCGroup PAC ID 6103230172, 36 clinicians

Practice addresses (Care Compare)

428 Minnesota St
Suite 500
Saint Paul, MN 55101-2666
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11993MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Clinic, P.a. Physical Therapist CurrentSince Sep 21, 2020 Accepting new patients
Minnesota Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 28, 2022 Accepting new patients

Locations

428 Minnesota St
Ste 500
Saint Paul, MN 55101
Phone (612) 662-9604

33 Hamline Ave S
Saint Paul, MN 55105
Phone (612) 868-6894

5525 Cedar Lake Rd S
St Louis Park, MN 55416
Phone (651) 739-6929

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.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1629683180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 21ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073071",
            "telephone_number": "920-419-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 CEDAR LAKE RD S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161420",
            "telephone_number": "952-541-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "NATHANIEL",
        "middle_name": "ARTHUR",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.