Individual provider Active NPI

Rylie M Murray, ATC

  • Athletic Trainer
  • Edwardsville, IL
National Provider Identifier
1699233072
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
096005384 Issued in IL
Practice address
1047 Century Dr
Edwardsville, IL 62025-3772
Phone
(618) 307-3434
Fax
(618) 307-3435
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X MO
Athletic Trainer 2255A2300X 2021035315 MO
Athletic Trainer 2255A2300X 096005384 IL Primary

Addresses

Primary practice location

1047 Century Dr
Edwardsville, IL 62025-3772

Mailing address

106 Timberwood LN
Collinsville, IL 62234-6862
Phone (618) 444-9074

Other practice location 1

6161 Center Grove Rd
Edwardsville, IL 62025-3307
Phone (618) 656-7100

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
096005384ILMDAthletic Trainer
2021035315MOMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1699233072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 TIMBERWOOD LN",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622346862",
            "telephone_number": "618-444-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 CENTURY DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253772",
            "telephone_number": "618-307-3434",
            "fax_number": "618-307-3435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6161 Center Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620253307",
            "country_code": "US",
            "telephone_number": "618-656-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "RYLIE",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2021035315",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096005384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.