Jodie Humphrey, PT, ATC, CSCS
Physical Therapist in Pawtucket, Rhode Island
1730334392- Practice location
- 111 Brewster St, Pawtucket, RI 02860-4474
- Phone
- 401-729-2316
- Fax
- —
- Last updated
- May 19, 2016
Jodie Humphrey is a Physical Therapist based in Pawtucket, RI. Jodie Humphrey practices in Pawtucket, RI and has the professional credentials of PT, ATC, CSCS. The NPI Number for Jodie Humphrey is 1730334392 and holds a License No. 10872 (MA). The current practice location address for Jodie Humphrey is 111 Brewster St, Pawtucket, RI 02860-4474 and can be reached out via phone at 401-729-2316.
Provider Profile Details
- NPI Number
- 1730334392
- Provider Name
- Jodie Humphrey
- Credential
- PT, ATC, CSCS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 Brewster St, Pawtucket, RI 02860-4474
- Phone Number
- 401-729-2316
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 24, 2008
- Last Update Date
- May 19, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Brewster St
Pawtucket, RI 02860-4474 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-4474
- Phone Number
- 401-729-2316
Provider Business Mailing Address Details
- Address
- Po Box 61
Seekonk, MA 02771 - City
- Seekonk
- State
- MA
- Zip
- 02771
License Information
- License Number (1)
- 10872
- License State (1)
- MA
- Taxonomy (1)
- Physical Therapist · 225100000X
- License State (2)
- RI
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
- License Number (3)
- 10872
- License State (3)
- MA
- Taxonomy (3)
- Physical Therapist, Sports · 2251S0007X
- License Number (4)
- 10872
- License State (4)
- MA
- Taxonomy (4)
- Physical Therapist, Orthopedic · 2251X0800X
- License Number (5)
- AT916
- License State (5)
- MA
- Taxonomy (5)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Taxonomy (6)
- Specialist/Technologist, Other, Art, Medical · 246ZA2600X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jodie Humphrey, PT, ATC, CSCS?
The NPI number of Jodie Humphrey, PT, ATC, CSCS is 1730334392. It was assigned on November 24, 2008 and is currently active in the NPPES registry.
What is the specialty of Jodie Humphrey, PT, ATC, CSCS?
Jodie Humphrey, PT, ATC, CSCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 10872.
Where does Jodie Humphrey, PT, ATC, CSCS practice?
The practice location is 111 Brewster St, Pawtucket, RI 02860-4474. The office can be reached at 401-729-2316 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730334392 directly on the NPPES registry website.