Individual provider Active NPI

Michele Kelly Murray, PT, DPT

  • Specialist
  • Melville, NY
National Provider Identifier
1841689825
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
038447 Issued in NY
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

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04317924MedicaidNY

Other names 1

  • Ms. Michele Kelly Grieco Former name

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.

Verify at the official NPI Registry.