Jodie Humphrey, PT, ATC, CSCS
NPI 1730334392ActiveIndividual· Physical Therapist· Pawtucket, RI
Physical Therapist (PT, ATC, CSCS) with Carroll Physical Therapy, practicing in Pawtucket, Rhode Island. Medicare paid $20,799 for services to 46 patients in 2024.
Overview
| NPI | 1730334392 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, ATC, CSCS |
| Sole proprietor | No |
| NPI issued | Nov 24, 2008 |
| Last updated in NPPES | May 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | RI |
| Physical Therapist | 225100000X | 10872 | MA |
| Physical Therapist, Sports | 2251S0007X | 10872 | MA |
| Physical Therapist, Orthopedic | 2251X0800X | 10872 | MA |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | AT916 | MA |
| Specialist/Technologist, Other, Art, Medical | 246ZA2600X | — | — |
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 (MA); Practitioner - Physical Therapist in Private Practice (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 933 across 7 procedure codes |
| Paid by Medicare | $20,799 |
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Carroll Physical TherapyMashpee, MA · 9 clinicians
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All 117 physical therapists in Pawtucket · All physical therapists in Rhode Island