Active NPI
Lawrence Humphrey, PT
- Physical Therapist
- Great Falls, MT
National Provider Identifier
1306295480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 989
- Practice address
- 1000 25TH St N
Ste 200
Great Falls, MT 59401-1381 - Phone
- (406) 453-5555
- NPI assigned
- Jun 8, 2016
- Last updated
- Jun 8, 2016
- 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 | 989 | MT | Primary |
Addresses
Primary practice location
1000 25TH St N
Ste 200
Great Falls, MT 59401-1381
Mailing address
1000 25TH St N
Ste 200
Great Falls, MT 59401-1381
Phone (406) 453-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 989 | Other | MT | LICENSE NUMBER |
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": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1306295480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 25TH ST N",
"address_2": "STE 200",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594011381",
"telephone_number": "406-453-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 25TH ST N",
"address_2": "STE 200",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594011381",
"telephone_number": "406-453-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "LAWRENCE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-08",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "989",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.