Healthcare Provider Details

I. General information

NPI: 1689593501
Provider Name (Legal Business Name): JAMES HUMES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 SHANNONDELL DR
AUDUBON PA
19403-5615
US

IV. Provider business mailing address

32 CRIMSON DR
NORRISTOWN PA
19401-1834
US

V. Phone/Fax

Practice location:
  • Phone: 610-728-5200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC021073
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: