Walter A Murphy, P.T.

Individual provider Active NPI Physical Therapist · Maynard, MA

NPI 1790769024 · NPPES record last updated Mar 27, 2008

Key facts

NPI
1790769024
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
10527 (MA)
Practice address
1 Pleasant St
Maynard, MA 01754-1360
Phone
(978) 897-8276
Fax
(978) 897-8825
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Pleasant St
Maynard, MA 01754-1360
Phone (978) 897-8276

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20041208000986 MA Practitioner - Physical Therapist in Private Practice 5698731826 Practice locations: Maynard, MA

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Eileen Geralyn Cejka Past Accepting new patients
Walter a Murphy Physical Therapist Past
since Jan 1, 1990
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10527 MA Yes

Addresses

Primary practice location

1 Pleasant St
Maynard, MA 01754-1360

Mailing address

1 Pleasant St
Maynard, MA 01754-1360
Phone (978) 897-8276

Other identifiers

IdentifierTypeStateIssuer
0309184MedicaidMA
Y67395OtherMABLUE CROSS BLUE SHIELD OF
5432733OtherMAHEALTHCARE VALUE MANAGEME
795937OtherMATUFTS HEALTHPLAN
626510OtherMAHARVARD PILGRIM HEALTHCAR

Other providers in Maynard, MA

All providers in Maynard, MA · Physical Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.