Provider Demographics
NPI:1376516492
Name:HAMPTON, CHERYL EDWARDS (PT, MHS)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:EDWARDS
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:PT, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4888 LOOP CENTRAL DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2227
Mailing Address - Country:US
Mailing Address - Phone:713-838-9050
Mailing Address - Fax:
Practice Address - Street 1:5201 KINLOCH DR
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-2501
Practice Address - Country:US
Practice Address - Phone:270-519-2609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY001091225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0920102Medicare ID - Type UnspecifiedBARDWELL OFFICE
KYR40381Medicare UPIN
KY5021501Medicare ID - Type UnspecifiedPADUCAH OFFICE