Jaclyn Humphrey, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2045680 Issued in TX

Practice address

2611 SW 46TH Ave
Amarillo, TX 79110-1735

Phone

(806) 355-6517

NPI assigned

Jul 27, 2021

Last updated

Jul 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1912670944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 SW 46TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791101735",
            "telephone_number": "806-355-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 SW 46TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791101735",
            "telephone_number": "806-355-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "JACLYN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2045680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane E Hughes, CRNA
• Cheryl Hukill, LPC
• Clint Hukill, OTR
• William Ronald Hulsey, ATC, LAT
• Carol Humbert
• Lou Ann Humphrey, LPC
• Dvette Monae Hunkapiller
• April Amy Hunley, MSN, FNP-BC, AQH
• Hunt Richardson Group LLC (InfuseCare)
• Mary Nell Hunt

• Physical Therapy Assistant in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.