Individual provider Active NPI

Kelly Elizabeth McMurray, CPO

  • Orthotist
  • Charlotte, NC
National Provider Identifier
1972315224
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
ORT0000000291 Issued in TN
Practice address
3816 Latrobe Dr Ste 103
Charlotte, NC 28211-1373
Phone
(704) 247-4134
Fax
(704) 257-8001
NPI assigned
Jan 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X PRO0000000277 TN
Orthotist 222Z00000X ORT0000000291 TN Primary

Addresses

Primary practice location

3816 Latrobe Dr Ste 103
Charlotte, NC 28211-1373

Mailing address

3816 Latrobe Dr Ste 103
Charlotte, NC 28211-1373
Phone (704) 247-4134

Other practice location 1

916 Cox Rd Ste 209
Gastonia, NC 28054-3496
Phone (704) 866-7772

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ORT0000000291TNMDOrthotist
PRO0000000277TNMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenney Orthopedics of Monroe, LLC Orthotist CurrentSince Jan 26, 2025 Accepting new patients
Kenney Orthopedics of Monroe, LLC Orthotist PastSince Jan 26, 2025 Accepting new patients

Locations

3816 Latrobe Dr
Ste 103
Charlotte, NC 28211
Phone (704) 247-4134

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1972315224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 LATROBE DR STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111373",
            "telephone_number": "704-247-4134",
            "fax_number": "704-257-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 LATROBE DR STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111373",
            "telephone_number": "704-247-4134",
            "fax_number": "704-257-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 Cox Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280543496",
            "country_code": "US",
            "telephone_number": "704-866-7772",
            "fax_number": "704-866-4292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMURRAY",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TN",
            "license": "PRO0000000277",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TN",
            "license": "ORT0000000291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.