Active NPI
Victoria Monica Humphrey, PT
- Physical Therapist
- Sierra Vista, AZ
National Provider Identifier
1225389794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1662
- Practice address
- 3455 Canyon de Flores
Suite B
Sierra Vista, AZ 85650-5380 - Phone
- (520) 803-9727
- Fax
- (520) 378-2683
- NPI assigned
- Sep 25, 2012
- Sex
- Female
- 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 | 1662 | AZ | Primary |
Addresses
Primary practice location
3455 Canyon de Flores
Suite B
Sierra Vista, AZ 85650-5380
Mailing address
237 E Oso TRL
Hereford, AZ 85615-8670
Phone (520) 803-0863
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1225389794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 E OSO TRL",
"city": "HEREFORD",
"state": "AZ",
"postal_code": "856158670",
"telephone_number": "520-803-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 CANYON DE FLORES",
"address_2": "SUITE B",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856505380",
"telephone_number": "520-803-9727",
"fax_number": "520-378-2683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "VICTORIA",
"middle_name": "MONICA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-25",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "1662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.