Ray Derek Munn, PT, MPT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11262 Issued in MA

Practice address

30 Playstead Rd
Suite 1
Newton, MA 02458-2125

Phone

(617) 306-6519

Fax

(617) 244-4672

NPI assigned

Oct 10, 2006

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

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• At Home Physical Therapy Inc

  • Physical Medicine & Rehabilitation Physician
  • Newton, MA
  • NPI 1760925929

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1649368028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PAGE RD",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024601534",
            "telephone_number": "617-306-6519",
            "fax_number": "617-244-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PLAYSTEAD RD",
            "address_2": "SUITE 1",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582125",
            "telephone_number": "617-306-6519",
            "fax_number": "617-244-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNN",
        "first_name": "RAY",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "PT, MPT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Mullin, LICSW
• Multi-Service Eating Disorders Association Inc
• Multisport Doctors of Physical Therapy LLC
• Jane Mumo
• Imani Mungai
• Caitlin Rose Murphy
• Elizabeth Murphy
• Hailey Murphy
• Marlayna Daria Murphy
• Patricia Murphy

• Physical Therapist in Newton, MA
• Providers in Newton, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.

Verify at the official NPI Registry.