Active NPI
Roy Humphrey, PT
- Physical Therapist
- Denham Springs, LA
National Provider Identifier
1326445669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 04126
- Practice address
- 8128 Florida Blvd
Denham Springs, LA 70726-7865 - Phone
- (225) 791-8644
- NPI assigned
- Dec 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 04126 | LA | Primary |
| Skilled Nursing Facility | 314000000X | 04126 | LA |
Addresses
Primary practice location
8128 Florida Blvd
Denham Springs, LA 70726-7865
Mailing address
8128 Florida Blvd
Denham Springs, LA 70726-7865
Phone (225) 791-8644
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04126 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1326445669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8128 FLORIDA BLVD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707267865",
"telephone_number": "225-791-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8128 FLORIDA BLVD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707267865",
"telephone_number": "225-791-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "ROY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-02",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "04126",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "04126",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.