Active NPI
Sarah Kelly Humphrey, DPT
- Physical Therapist
- Raleigh, NC
National Provider Identifier
1629574801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17752
- Practice address
- 8305 Falls of Neuse Rd
Raleigh, NC 27615-3546 - Phone
- (919) 870-4444
- NPI assigned
- Apr 5, 2018
- Last updated
- Apr 5, 2018
- 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 | 17752 | NC | Primary |
Addresses
Primary practice location
8305 Falls of Neuse Rd
Raleigh, NC 27615-3546
Mailing address
1207 Haventree Rd
Durham, NC 27713-4358
Phone (828) 337-5887
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 |
|---|---|---|---|
| 17752 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rex Radiology Specialists
- Diagnostic Radiology Physician
- Raleigh, NC
- NPI 1831613363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1629574801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 HAVENTREE RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277134358",
"telephone_number": "828-337-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8305 FALLS OF NEUSE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153546",
"telephone_number": "919-870-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "SARAH",
"middle_name": "KELLY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-05",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "17752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.