Kayla L Murdaugh, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003809 Issued in GA

Practice address

101 Fairview Park Dr
Dublin, GA 31021-2501

Phone

(478) 272-7494

Fax

(478) 272-2616

NPI assigned

May 2, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Bass Physical Therapy and Rehabilitation Center Inc

  • Rehabilitation Clinic/Center
  • Swainsboro, GA
  • NPI 1942347687
  NPD (past)
• Bass Physical Therapy and Rehabilitation Center, Inc.

  • Rehabilitation Clinic/Center
  • Dublin, GA
  • NPI 1952383093
  NPD (past)

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1699201368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ERICK RD",
            "city": "ALAMO",
            "state": "GA",
            "postal_code": "304114405",
            "telephone_number": "229-860-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212501",
            "telephone_number": "478-272-7494",
            "fax_number": "478-272-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDAUGH",
        "first_name": "KAYLA",
        "middle_name": "L",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Mucher, RN
• Karmen R Mullis, MD
• Tabitha Hendrix Mullis, NP-C
• Thomas Corbin Mullis, MD
• Jennifer Mallory Munoz-Tevez, RN
• Stacy Y. Murray, RN
• Myeyedr Optometry of Georgia LLC
• Myeyedr Optometry of Georgia LLC
• Myeyedr Optometry of Georgia LLC
• Katie C Nabb, ATC/L,CSCS

• All providers in Dublin, GA
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.