Carly B Murray, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018832 Issued in MI

Practice address

22180 Pontiac TRL Ste E
South Lyon, MI 48178-9097

Phone

(248) 446-0155

NPI assigned

Aug 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carly B Bernadotte Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Kinetic Rehabilitation Inc.

  • Rehabilitation Clinic/Center
  • South Lyon, MI
  • NPI 1235670373
  NPD (past)
• Plymouth Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Livonia, MI
  • NPI 1689691388
  NPD (past)

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1760963334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17633 EDGEWOOD ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522907",
            "telephone_number": "734-536-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22180 PONTIAC TRL STE E",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789097",
            "telephone_number": "248-446-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "CARLY",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "BERNADOTTE",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Monzon
• Elizabeth Morelli, MD
• Kristen Morrone, MA, CCC-SLP
• Kristi Ann Mulligan, OTRL
• Joy M Mulrath, LMSW
• Samantha Lynn Murray, D.P.T
• Todd John Nadeau, M.A., LLP
• Natasha Gates DDS, PLLC (Gentle Family Dentistry of South Lyon)
• Jennifer Nidetz, LMSW
• Matthew Alan Niemiec, MPT

• Physical Therapist in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.