Shelly Diane Muray, M.S., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19410 Issued in CA

Practice address

3468 Mt Diablo Blvd
Suite B-110
Lafayette, CA 94549-3957

Phone

(925) 284-6150

NPI assigned

Oct 18, 2010

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Lafayette Physical Therapy, Inc.

  • Physical Therapist
  • Lafayette, CA
  • NPI 1225125081
  NPD (past)

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1871803395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 PASEO GRANDE",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945561537",
            "telephone_number": "925-385-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 MT DIABLO BLVD",
            "address_2": "SUITE B-110",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493957",
            "telephone_number": "925-284-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURAY",
        "first_name": "SHELLY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "M.S., P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Moose, ATC, CSCS, PMA-CPT
• Eric William Moreland, PSYD
• Morpheus Enterprise, LTD
• Miriam Asaki Morrill, PT, DPT
• Sigmund Moskovitz NA, MA,PHD,MFT
• Helen Muscolo, M.F.T.
• Mylo Magtoto
• Jessica Rose Myngheer, MS, CF-SLP
• Yuko Christine Nakamura, D.M.D., M.D.
• Laura Nagham Naman, PHD

• Physical Therapist in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.