Individual ProviderPaul E HumphreysPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address195 Falcon Dr, Fredericksburg, VA 22408-1930(540) 735-0260PECOS EnrollmentBased on the most recent information from CMS, provider Paul E Humphreys does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1609275437Provider TypeIndividualFull NameHumphreys, Paul ECredentialPT, ATPGenderMaleSole ProprietorNoEnumeration Date8/18/2014Last Updated8/18/2014Contact InformationPractice LocationPractice Address195 Falcon Dr, Fredericksburg, VA 22408-1930Phone(540) 735-0260Fax(540) 735-0261Mailing LocationMailing AddressPO Box 8389, Fredericksburg, VA 22404-8389Phone(540) 735-0260Fax(540) 735-0261Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2305202820Virginia