Theodore William Homol III, PT, DPT
NPI 1205506912ActiveIndividual· Physical Therapist· Harrisburg, NC
Physical Therapist (PT, DPT) with Benchmark Physical Therapy of North Carolina, LLC, practicing in Harrisburg, North Carolina. Medicare paid $20,454 for services to 59 patients in 2024.
Overview
| NPI | 1205506912 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Sep 14, 2021 |
| Last updated in NPPES | Nov 13, 2024 |
| Certified by provider | Nov 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | P21412 | NC |
| Physical Therapist | 225100000X | 28688 | MD |
| Physical Therapist | 225100000X | 10839 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NC); Practitioner - Physical Therapist in Private Practice (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 59 |
|---|---|
| Services billed | 1,035 across 7 procedure codes |
| Paid by Medicare | $20,454 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Benchmark Physical Therapy of North Carolina, LLCGreensboro, NC · 243 clinicians
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