Active NPI
Ray Derek Munn
- Physical Therapist
- Newton, MA
National Provider Identifier
1912070301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11262
- Legal business name
- RAY DEREK MUNN
- Doing business as
- At Home Physical Therapy
- Practice address
- 30 Playstead Rd
Suite #1
Newton, MA 02458-2125 - Phone
- (617) 306-6519
- Fax
- (617) 244-4672
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ray Derek Munn, PT, MPT, DPT, OCS
- Title
- Owner
- Phone
- (617) 306-6519
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11262 | MA | Primary |
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
30 Playstead Rd
Suite #1
Newton, MA 02458-2125
Mailing address
30 Playstead Rd
Suite #1
Newton, MA 02458-2125
Phone (617) 306-6519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT0329 | Other | MEDICARE IDENTIFICATION NUMBER |
Other names 1
- At Home Physical Therapy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Newton, MA
- NPI 1285114611
-
- Occupational Therapist
- Auburndale, MA
- NPI 1851415491
-
- Physical Therapist
- Hopkinton, MA
- NPI 1548597263
-
- Physical Therapist
- Huntersville, NC
- NPI 1114988920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222992000000",
"number": "1912070301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PLAYSTEAD RD",
"address_2": "SUITE #1",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582125",
"telephone_number": "617-306-6519",
"fax_number": "617-244-4672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PLAYSTEAD RD",
"address_2": "SUITE #1",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582125",
"telephone_number": "617-306-6519",
"fax_number": "617-244-4672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAY DEREK MUNN",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2008-10-03",
"status": "A",
"authorized_official_last_name": "MUNN",
"authorized_official_first_name": "RAY",
"authorized_official_middle_name": "DEREK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-306-6519",
"authorized_official_credential": "PT, MPT, DPT, OCS"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MA",
"license": "11262",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IDENTIFICATION NUMBER",
"identifier": "PT0329",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "At Home Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.