Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lydell Humphrey, MPT

Individual provider Physical Therapist · NPI 1215076757

Lydell Humphrey, MPT is a Physical Therapist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

1268 Edgewood Ave W Ste 5
Jacksonville, FL 32208-2700
Phone: (904) 764-0022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 23096 (FL)

Record details

NPI number1215076757
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedFebruary 5, 2007
Last updated in NPPESJuly 8, 2007

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