Active NPI
David Bruce Murray, PT
- Physical Therapist
- Cleveland, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3112 Ocoee St N
Cleveland, TN 37312-5382 - Phone
- (423) 559-1537
- Fax
- (423) 559-1539
- NPI assigned
- May 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3112 Ocoee St N
Cleveland, TN 37312-5382
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000976027C | Medicaid | GA | |
| 03650060 | Medicaid | TN | |
| 0446652 | Medicaid | TN | |
| 3156797 | Other | TN | BCBST |
| 5441648 | Medicaid | TN | |
| 000976027A | Medicaid | GA | |
| 3654493 | Medicaid | TN | |
| 000976027B | Medicaid | GA | |
| 52808161001 | Other | GA | BCBS GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3760 Ocoee Place NW
Suite 101
Cleveland, TN 37312-5636
Phone (423) 336-3795
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6477 | TN | MD | Physician Assistant |
| 004585 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| MCM Rehabilitation, LLC. | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| MCM Rehabilitation LLC | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
790 Remington Blvd
Bolingbrook, IL 60440
4947 Payshere Cir
Chicago, IL 60674
1809 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 648-0698
3112 Ocoee St N
Cleveland, TN 37312
Phone (423) 554-1537
3760 Ocoee Pl NW
Ste 101
Cleveland, TN 37312
Phone (423) 336-3795
1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192
2125 Northpoint Blvd
Hixson, TN 37343
Phone (423) 875-3367
3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
9408 Apison Pike
Ste 150
Ooltewah, TN 37363
Phone (423) 396-3004
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1538226840
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hixson, TN
- NPI 1922681360
-
- Physical Therapy Clinic/Center
- Woodstock, GA
- NPI 1912950569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1972559623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3112 OCOEE ST N",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373125382",
"telephone_number": "423-559-1537",
"fax_number": "423-559-1539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "DAVID",
"middle_name": "BRUCE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000976027C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03650060",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446652",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "3156797",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5441648",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000976027A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3654493",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000976027B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GA",
"identifier": "52808161001",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.