Ms Amena Alicia Humphrey, PTA is a
Physical Therapy Assistant based in Clermont, Florida. Ms Amena Alicia Humphrey is licensed to practice in Florida (license number PTA 19309) and her current practice location is
301 N Highway 27, Suite F, Clermont, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 432-3910.
NPI number for Ms Amena Alicia Humphrey is 1831454107 and her current mailing address is 417 W Princeton St, Orlando, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831454107.
Healthcare Provider's Profile
| Full Name | Ms Amena Alicia Humphrey |
|---|
| Gender | Female |
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| Speciality | Physical Therapy Assistant |
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| Location | 301 N Highway 27, Clermont, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831454107
- Provider Enumeration Date: 07/11/2012
- Last Update Date: 07/11/2012
Medical Identifiers
Medical identifiers for Ms Amena Alicia Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831454107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | IMH 8400 (Florida) | Secondary |
| 225200000X | Physical Therapy Assistant | PTA 19309 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Amena Alicia Humphrey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Amena Alicia Humphrey, PTA
417 W Princeton St,
Orlando, FL 32804-5305
Ph: (321) 274-3980 | Ms Amena Alicia Humphrey, PTA
301 N Highway 27, Suite F,
Clermont, FL 34711-2447
Ph: (352) 432-3910 |
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