Eleanor Catherine Humphrey, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH1056 Issued in AL

Practice address

402 Office Park Dr Ste 260
Mountain BRK, AL 35223-3100

Phone

(205) 879-6447

Fax

(205) 879-6397

NPI assigned

Mar 14, 2012

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

• Eleanor Catherine Neville Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ergoscience, Inc

  • Physical Therapy Clinic/Center
  • Mountain BRK, AL
  • NPI 1033500723
  NPD (past)

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1487929071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 VESTBROOK CIR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352434528",
            "telephone_number": "205-879-6447",
            "fax_number": "205-879-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 OFFICE PARK DR STE 260",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352233100",
            "telephone_number": "205-879-6447",
            "fax_number": "205-879-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "ELEANOR",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH1056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELEANOR",
            "last_name": "NEVILLE",
            "middle_name": "CATHERINE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Charlotte Huff
• Hannah Hughes, M. ED., ALC, NCC
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• Mariana Issa, MT-BC

• Physical Therapist in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.