Provider Demographics
NPI:1295888410
Name:MURRAY, STEVEN CHRISTOPHER (PT)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:CHRISTOPHER
Last Name:MURRAY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 161555
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-0026
Mailing Address - Country:US
Mailing Address - Phone:864-978-3771
Mailing Address - Fax:828-615-7252
Practice Address - Street 1:145 CAGGIANO DR
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29341-2533
Practice Address - Country:US
Practice Address - Phone:864-978-3771
Practice Address - Fax:828-615-7252
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 252Y00000X
SC3422225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP97472Medicaid
SCTH0799Medicaid