Active NPI
Devin M Murphy, PTA
- Physical Therapy Assistant
- Lake Wales, FL
National Provider Identifier
1780149211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA29086
- Practice address
- 512 S 11TH St
Lake Wales, FL 33853-4901 - Phone
- (863) 676-8502
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA8209 | AL | |
| Physical Therapy Assistant | 225200000X | 2944 | OK | |
| Physical Therapy Assistant | 225200000X | PTA29086 | FL | Primary |
Addresses
Primary practice location
512 S 11TH St
Lake Wales, FL 33853-4901
Mailing address
512 S 11TH St
Lake Wales, FL 33853-4901
Phone (863) 676-8502
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 |
|---|---|---|---|
| 2944 | OK | MD | Mental Health Counselor |
| PTA8209 | AL | MD | Physical Therapy Assistant |
| PTA29086 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1780149211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 S 11TH ST",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338534901",
"telephone_number": "863-676-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 S 11TH ST",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338534901",
"telephone_number": "863-676-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "DEVIN",
"middle_name": "M",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-08",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "PTA8209",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "2944",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA29086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Wales, FL
- Moreno Quality Services
- Glenda G Morgan
- Morning Star Health Solutions, Inc.
- Hasan M. Mousli, MD
- Multi-Specialty & Primary Care Practice Group of Lake Wales LLC
- Myeyedr. Optometry of Florida, LLC
- Issac Nagib, R.P.T.
- Ricardo James Navarro, D.O.
- Never Left Alone Concierge Services, Inc.
- New Horizons Respite Care Agency LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.