Jack Baker Renfroe, PT
NPI 1437669934ActiveIndividual· Physical Therapist· New York, NY
Physical Therapist (PT) with Georgia Luna Care Physical Therapy LLC and 1 other group, practicing in New York, New York. Medicare paid $31,025 for services to 53 patients in 2024.
Overview
| NPI | 1437669934 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Oct 10, 2017 |
| Last updated in NPPES | Nov 13, 2024 |
| Certified by provider | Nov 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 042327 | 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 | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 53 |
|---|---|
| Services billed | 1,478 across 8 procedure codes |
| Paid by Medicare | $31,025 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Georgia Luna Care Physical Therapy LLCAtlanta, GA · 166 clinicians
- Emory Physical Therapy, LLCAtlanta, GA · 97 clinicians
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