Individual provider Active NPI

Daryl Murdock, PT

  • Physical Therapist
  • El Cajon, CA
National Provider Identifier
1821051202
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26541 Issued in CA
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

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
26541CAMDClinical Child & Adolescent Psychologist
PT26541CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Murdock Physical Therapy Inc. PastSince Jan 15, 2021 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.

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.

Verify at the official NPI Registry.