Individual provider Active NPI

Kristin Lynn Murthy, OTR

  • Physical Rehabilitation Occupational Therapist
  • Hagerstown, MD
National Provider Identifier
1659995108
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
08974 Issued in MD
Practice address
13214 Fountain Head PLZ
Hagerstown, MD 21742-2678
Phone
(301) 766-9293
NPI assigned
Jun 1, 2020
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 08974 MD Primary

Addresses

Primary practice location

13214 Fountain Head PLZ
Hagerstown, MD 21742-2678

Mailing address

13304 Canterbury Dr
Hagerstown, MD 21742-2600
Phone (301) 730-7773

Other identifiers 1

IdentifierTypeStateIssuer
OC008895OtherPAHAVE WORK PREVIOUSLY IN OH, WV, AND PA AS AN OCCUPATIONAL THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmurthy@structuralelements.com Direct

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

LicenseStateTypeSpecialty
08974MDMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sef Development LLC CurrentSince Aug 25, 2025 Accepting new patients
Structural Elements, LLC PastSince Jun 7, 2020 Accepting new patients

Locations

13214 Fountain Head Plz
Hagerstown, MD 21742
Phone (301) 766-9293

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1659995108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 CANTERBURY DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422600",
            "telephone_number": "301-730-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13214 FOUNTAIN HEAD PLZ",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422678",
            "telephone_number": "301-766-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTHY",
        "first_name": "KRISTIN",
        "middle_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MD",
            "license": "08974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAVE WORK PREVIOUSLY IN OH, WV, AND PA AS AN OCCUPATIONAL THERAPIST",
            "identifier": "OC008895",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmurthy@structuralelements.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13214 Fountain Head Plz",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217422678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.