Active NPI
Sherri Lynne Humphrey, MS,PT
- Physical Therapist
- Juneau, AK
National Provider Identifier
1710919212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 889
- Practice address
- 641 W Willoughby Ave Ste 206
Juneau, AK 99801-1748 - Phone
- (907) 586-5951
- Fax
- (907) 586-8017
- NPI assigned
- Jul 7, 2006
- Last updated
- Jul 8, 2007
- 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 | 889 | AK | Primary |
Addresses
Primary practice location
641 W Willoughby Ave Ste 206
Juneau, AK 99801-1748
Mailing address
2010 Fairbanks St
Juneau, AK 99801-1969
Phone (907) 523-5634
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Plus Management, LLC | Physical Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710919212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 FAIRBANKS ST",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998011969",
"telephone_number": "907-523-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 W WILLOUGHBY AVE STE 206",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998011748",
"telephone_number": "907-586-5951",
"fax_number": "907-586-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "SHERRI",
"middle_name": "LYNNE",
"credential": "MS,PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.