Musculoskeletal Rehab of Mount Dora, Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

MA4338 Issued in FL

Legal business name

MUSCULOSKELETAL REHAB OF MOUNT DORA, INC

Practice address

428 E 5TH Ave
Mount Dora, FL 32757-5663

Phone

(352) 383-0004

NPI assigned

Sep 27, 2011

Organization subpart

No

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

Authorized official

Name

Shamaya Chah, LMT

Title

Owner

Phone

(352) 383-0004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1790068690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 WAKEFIELD DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016219",
            "telephone_number": "352-383-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E 5TH AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575663",
            "telephone_number": "352-383-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCULOSKELETAL REHAB OF MOUNT DORA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "CHAH",
        "authorized_official_first_name": "SHAMAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-383-0004",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "MA4338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Suzanne Murphy, PA-C
• Constance Murphy, MSW, LCSW
• Mary Jo Murphy, PT
• Shennel Murphy
• John Thomas Murrell, DMD
• Musculoskeletal Rehab, Inc.
• Virginia Diane Musselwhite, ARNP
• Teresa M Myers, LMT
• Chace Nacke
• Lalbahadur S Nagabhairu, MD

• Point of Service in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.