Alyssa Fe Humphrey, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2015024324 Issued in MO

Practice address

1707 W Elfindale St
Springfield, MO 65807-1246

Phone

(417) 831-2273

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Alyssa Fe Gonzalez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1033807771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 E 420TH RD",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131197",
            "telephone_number": "417-599-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W ELFINDALE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071246",
            "telephone_number": "417-831-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 W Main St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MO",
            "postal_code": "656227496",
            "country_code": "US",
            "telephone_number": "417-345-5422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "ALYSSA",
        "middle_name": "FE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2015024324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "GONZALEZ",
            "middle_name": "FE",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brady Hull, DMD
• Christina L Hull, MSW, LCSW
• Darla K Hull, MD
• Mical Hull, PLPC
• Elwyn Hulse, LPC
• Emily Humphrey, PHARMD
• Emmalee Elizabeth Hungerford, COTA/L
• Amy M Hunt, PA-C
• Courtney Hunt
• Holly Dennese Hunt, PLPC

• Physical Therapy Assistant in Springfield, MO
• Providers in Springfield, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.