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 35 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