Gregory Waylon Murdock, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

215307 Issued in TX

Practice address

17116 Harpers Trce Apt 3310
Conroe, TX 77385-1153

Phone

(936) 553-4440

NPI assigned

Jan 12, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1831788058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17116 HARPERS TRCE APT 3310",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773851153",
            "telephone_number": "936-553-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17116 HARPERS TRCE APT 3310",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773851153",
            "telephone_number": "936-553-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "GREGORY",
        "middle_name": "WAYLON",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "215307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rama Mulukutla, MD
• Susan W Munga, MD
• Vanessa Muniz, D.D.S
• Pauline Munoz, MS, CCC-SLP
• Randi M Mura, BCBA
• Kathia Elizabeth Murillo
• Audrey Murphy, DO
• Murray B. Fershtman, M.D.
• Todd Anderson Murrell, LAT
• Hurr Murtaza, DO

• Occupational Therapy Assistant in Conroe, TX
• Providers in Conroe, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.