Organization Active NPI

MDM Physical Therapy PC

  • Physical Therapist
  • Hempstead, NY
National Provider Identifier
1801669494
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MDM PHYSICAL THERAPY PC
Practice address
80 Maplewood Ave
Hempstead, NY 11550-6414
Phone
(516) 481-3564
Fax
(516) 481-3564
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Dr. Michael Murray, DPTNPI 1043287063
Title
President
Phone
(516) 481-3564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X
Neurology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251N0400X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X

Addresses

Primary practice location

80 Maplewood Ave
Hempstead, NY 11550-6414

Mailing address

80 Maplewood Ave
Hempstead, NY 11550-6414
Phone (516) 481-3564

Other practice location 1

418 E 138th St
Bronx, NY 10454-3136
Phone (516) 481-3564

Other practice location 2

11227 Guy R Brewer Blvd
Jamaica, NY 11433-3829
Phone (718) 618-6088

Other practice location 3

75 E Broadway
New York, NY 10002-6007
Phone (516) 481-3564

Other practice location 4

4713 Church Ave
Brooklyn, NY 11203-3209
Phone (718) 284-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241206002743 NY Part B Supplier - Clinic/Group Practice 5496281982 Receives reassigned benefits from 1 practitioner
Practice locations: Hempstead, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1801669494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MAPLEWOOD AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115506414",
            "telephone_number": "516-481-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAPLEWOOD AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115506414",
            "telephone_number": "516-481-3564",
            "fax_number": "516-481-3564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 E 138th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104543136",
            "country_code": "US",
            "telephone_number": "516-481-3564",
            "fax_number": "516-481-3564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11227 Guy R Brewer Blvd",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114333829",
            "country_code": "US",
            "telephone_number": "718-618-6088",
            "fax_number": "516-481-3564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 E Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100026007",
            "country_code": "US",
            "telephone_number": "516-481-3564",
            "fax_number": "516-481-3564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4713 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112033209",
            "country_code": "US",
            "telephone_number": "718-284-7070",
            "fax_number": "711-284-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MDM PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-481-3564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.