Lakeitra Humphrey, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004101 Issued in GA

Practice address

2469 Stelzer Rd
Columbus, OH 43219-3129

Phone

(614) 416-6200

NPI assigned

Nov 7, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1699217802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 6TH ST SW APT B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111657",
            "telephone_number": "205-603-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 STELZER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193129",
            "telephone_number": "614-416-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "LAKEITRA",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2133652",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA8739",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004101",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Hummer
• Steven Craig Hummer, DDS
• Ashley Jewel Humphrey, D.D.S.
• Dalisse Humphrey, RN, BSN
• Kayla Rae Humphrey, LSW
• Leslie Joan Humphrey, O.D.
• Lisa Humphrey, M.D.
• Maggie Humphrey, MS, LGC
• Shawn Humphrey
• Stephanie Humphrey

• Physical Therapy Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.