Active NPI
Daryl Murdock, PT
- Physical Therapist
- El Cajon, CA
National Provider Identifier
1821051202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT26541
- Practice address
- 2163 Shire Dr
El Cajon, CA 92019-2657 - Phone
- (619) 715-5811
- Fax
- (619) 334-7338
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT26541 | CA | Primary |
Addresses
Primary practice location
2163 Shire Dr
El Cajon, CA 92019-2657
Mailing address
PO Box 21773
El Cajon, CA 92021-0966
Phone (619) 715-5811
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26541 | CA | MD | Clinical Child & Adolescent Psychologist |
| PT26541 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murdock Physical Therapy Inc. | Past | Accepting new patients | |
| MDRS Spine & Sport, Inc | Physical Therapist | Past | Accepting new patients |
| Elite Physical Therapy Center Incorporated | Physical Therapist | Past | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Specialist
- El Cajon, CA
- NPI 1033578281
-
- Physical Therapist
- El Centro, CA
- NPI 1568780021
-
- Physical Therapist
- Temecula, CA
- NPI 1689824203
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1952394603
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1821051202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21773",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920210966",
"telephone_number": "619-715-5811",
"fax_number": "619-334-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2163 SHIRE DR",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920192657",
"telephone_number": "619-715-5811",
"fax_number": "619-334-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURDOCK",
"first_name": "DARYL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT26541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.