Active NPI
Kathleen Mary Murray, P.T.
- Physical Therapist
- Medford, NY
National Provider Identifier
1821306796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011361-1
- Practice address
- 22 Balsam Dr
Medford, NY 11763-4304 - Phone
- (631) 714-5433
- NPI assigned
- Sep 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 011361-1 | NY | Primary |
Addresses
Primary practice location
22 Balsam Dr
Medford, NY 11763-4304
Mailing address
22 Balsam Dr
Medford, NY 11763-4304
Phone (631) 714-5433
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011361-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1821306796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BALSAM DR",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117634304",
"telephone_number": "631-714-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BALSAM DR",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117634304",
"telephone_number": "631-714-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "KATHLEEN",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "011361-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.