Individual provider Active NPI

Kayla Marie Murillo

  • Athletic Trainer
  • Litchfield Park, AZ
National Provider Identifier
1982257929
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
001304 Issued in AZ
Practice address
5110 N Dysart Rd Ste 148
Litchfield Park, AZ 85340-3062
Phone
(623) 547-4739
Fax
(623) 536-2154
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 001304 AZ Primary

Addresses

Primary practice location

5110 N Dysart Rd Ste 148
Litchfield Park, AZ 85340-3062

Mailing address

701 E Calle Adobe LN
Goodyear, AZ 85338-1027

Other identifiers 1

IdentifierTypeStateIssuer
001304OtherAZATHLETIC TRAINER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kmurillo@foothillsrehab.com Direct Foothills Sports Medicine & Rehabilitation Litchfield Park, LLC

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
001304AZMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1982257929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E CALLE ADOBE LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 N DYSART RD STE 148",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853403062",
            "telephone_number": "623-547-4739",
            "fax_number": "623-536-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "001304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "001304",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kmurillo@foothillsrehab.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Foothills Sports Medicine & Rehabilitation Litchfield Park, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "5110 N Dysart Rd",
            "address_2": "Suite 148",
            "city": "Litchfield Park",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853403058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.