Active NPI
Michele Kelly Murray, PT, DPT
- Specialist
- Melville, NY
National Provider Identifier
1841689825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 038447
- Practice address
- 900 Walt Whitman Rd
Ste 310
Melville, NY 11747-2215 - Phone
- (631) 923-2288
- Fax
- (631) 714-6142
- NPI assigned
- Jan 14, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 038447 | NY | Primary |
Addresses
Primary practice location
900 Walt Whitman Rd
Ste 310
Melville, NY 11747-2215
Mailing address
560 Walt Whitman Rd
Ste 1
Melville, NY 11747-2114
Phone (631) 923-2288
Other practice location 1
45 Crossways Park Dr W
Woodbury, NY 11797-2037
Phone (516) 536-2800 ext. 1655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04317924 | Medicaid | NY |
Other names 1
- Ms. Michele Kelly Grieco
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1841689825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 WALT WHITMAN RD",
"address_2": "STE 1",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472114",
"telephone_number": "631-923-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WALT WHITMAN RD",
"address_2": "STE 310",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472215",
"telephone_number": "631-923-2288",
"fax_number": "631-714-6142"
}
],
"practiceLocations": [
{
"address_1": "45 Crossways Park Dr W",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "NY",
"postal_code": "117972037",
"country_code": "US",
"telephone_number": "516-536-2800 x1655",
"fax_number": "516-992-4637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURRAY",
"first_name": "MICHELE",
"middle_name": "KELLY",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-14",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "038447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04317924",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "GRIECO",
"middle_name": "KELLY",
"prefix": "MS.",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.