Active NPI
Iras Humphreys
- Mechanotherapist
- Hayward, WI
National Provider Identifier
1871821702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- Practice address
- 10705 N Linden Rd
Hayward, WI 54843-4047 - Phone
- (715) 634-2560
- NPI assigned
- Dec 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | Primary |
Addresses
Primary practice location
10705 N Linden Rd
Hayward, WI 54843-4047
Mailing address
10705 N Linden Rd
Hayward, WI 54843-4047
Phone (715) 634-2560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4752046 | Other | WI | MASSAGE THERAPIST |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1871821702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10705 N LINDEN RD",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548434047",
"telephone_number": "715-634-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10705 N LINDEN RD",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548434047",
"telephone_number": "715-634-2560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREYS",
"first_name": "IRAS",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-04",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "4752046",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hayward, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.