Johnny Philebaum, PT, DPT
NPI 1891413480ActiveIndividual· Physical Therapist· Kings Mountain, NC
Physical Therapist (PT, DPT) with Ivyrehab North Carolina LLC and 1 other group, practicing in Kings Mountain, North Carolina. Medicare paid $8,228 for services to 14 patients in 2024.
Overview
| NPI | 1891413480 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Aug 19, 2022 |
| Last updated in NPPES | Aug 19, 2022 |
| Certified by provider | Aug 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | P21566 | NC |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 404 across 8 procedure codes |
| Paid by Medicare | $8,228 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Ivyrehab North Carolina LLCGastonia, NC · 156 clinicians
- Prava PCCharlotte, NC · 12 clinicians
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