Active NPI
Renee L Murphy, MPT
- Pediatric Physical Therapist
- Wilmington, NC
National Provider Identifier
1770717415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 9108
- Practice address
- 405 Northern Blvd
Wilmington, NC 28401-6737 - Phone
- (910) 540-2161
- Fax
- (910) 452-8666
- NPI assigned
- May 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 9108 | NC | Primary |
Addresses
Primary practice location
405 Northern Blvd
Wilmington, NC 28401-6737
Mailing address
405 Northern Blvd
Wilmington, NC 28401-6737
Phone (910) 540-2161
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9108 | NC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241913600000",
"number": "1770717415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 NORTHERN BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016737",
"telephone_number": "910-540-2161",
"fax_number": "910-452-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 NORTHERN BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016737",
"telephone_number": "910-540-2161",
"fax_number": "910-452-8666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "RENEE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-10",
"last_updated": "2009-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NC",
"license": "9108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.