Active NPI
Annette Humphrey, PT
- Physical Therapist
- Manchester, GA
National Provider Identifier
1609944990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 741
- Practice address
- 1140 Warm Springs Hwy
Manchester, GA 31816-1166 - Phone
- (706) 846-3717
- Fax
- (706) 846-3721
- NPI assigned
- Dec 2, 2006
- Last updated
- Feb 27, 2017
- 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 | 741 | GA | Primary |
Addresses
Primary practice location
1140 Warm Springs Hwy
Manchester, GA 31816-1166
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 741 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1609944990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 WARM SPRINGS HWY",
"city": "MANCHESTER",
"state": "GA",
"postal_code": "318161166",
"telephone_number": "706-846-3717",
"fax_number": "706-846-3721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "ANNETTE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-02",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, GA
- Candice Renee Gaultney, LMT
- Georgia CVS Pharmacy LLC (CVS Pharmacy #10358)
- Felicia Helmick
- Thomas G Hopkin, DDS
- Rusti A Houston, PHARMD
- Jendontris Center for Healing LLC
- William Z Kittrell Jr., RPH
- Victor E Lambert, M.D.
- Manchester Board of Health (Manchester Health Department)
- Manchester Health Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.