Jeffrey Paul Humphrey, PT
NPI 1306169206ActiveIndividual· Physical Therapist· Ithaca, NY
Physical Therapist (PT) in Ithaca, New York, licensed in SC and NY, with an NPI issued in March 2010. Medicare paid $67,664 for services to 165 patients in 2024.
Overview
| NPI | 1306169206 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Mar 5, 2010 |
| Last updated in NPPES | Dec 29, 2022 |
| Certified by provider | Dec 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11530 | SC |
| General Acute Care Hospital | 282N00000X | 1962422733 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
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Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 165 |
|---|---|
| Services billed | 3,481 across 10 procedure codes |
| Paid by Medicare | $67,664 |
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All 114 physical therapists in Ithaca · All physical therapists in New York