DR. JEFFREY ERNEST HUMPHREY (NPI# 1073662169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073662169 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ERNEST HUMPHREY |
| Credential | DPT |
| Practice Address |
1016 Brooks Ave Corvallis MT 59828-9340 |
| Practice Telephone | 4069613841 |
| Practice Fax Number | 4069616814 |
| Mailing Telephone | 4069613841 |
| Mailing Fax Number | 4069616814 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2009-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1699PT | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 00348874 | 05 | |
| MT | RAILROAD MEDICARE | P00708924 | 01 |
| MT | BLUECROSS BLUESHIELD | 61278 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801124094 | Jeffrey Steven Humphrey | Internal Medicine | 251 Bouvant Dr, Princeton, NJ 08540-1227 | 2009-11-26 |
| 1447512843 | Jeffrey Craig Humphrey | Nurse Practitioner | 3650 Laurel St, Beaumont, TX 77707-2216 | 2012-06-12 |
| 1306169206 | Jeffrey Paul Humphrey | General Acute Care Hospital | 10 Brentwood Dr, Ithaca, NY 14850-1865 | 2010-03-05 |
| 1124199757 | Jeffrey Beckett Humphrey | Dentist | 650 Main St, Amherst, MA 01002-2435 | 2006-11-13 |
| 1740253103 | Jeffrey S Humphrey | Family Medicine | 1000 Se Uglow Ave, Dallas, OR 97338-2645 | 2006-02-08 |
| Street Address |
1016 BROOKS AVE |
| City | CORVALLIS |
| State | MT |
| Zip Code | 59828-9340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508875428 | Janie Marie Hett | Physical Medicine & Rehabilitation | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2006-08-07 |
| 1578187787 | Shannon Scott | Physical Therapist | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2020-06-03 |
| 1245768183 | Bitterroot Physical Therapy LLC | Clinic/Center | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2017-05-23 |
| 1649683004 | Kelly Marie Diehl | Physical Therapist | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2014-06-03 |
| 1194085621 | Lindsay Chapman Huls | Physical Therapist | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2012-05-17 |
| 1104018639 | Carla R Albert | Physical Therapist | 1016 Brooks Ave, Corvallis, MT 59828 | 2007-08-17 |
| 1780875500 | Gayle Christensen | Physical Therapist | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2007-08-06 |
| 1649323494 | Marcy Leann Daly | Physical Therapist | 1016 Brooks Ave, Corvallis, MT 59828-9340 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891080529 | Corvallis Physical Therapy, PC | Clinic/Center | 1050 Eastside Hwy, Corvallis, MT 59828 | 2011-06-10 |
| 1568665651 | Linda Macy | Technician | 470 Clearview Drive, Corvallis, MT 59828 | 2007-06-07 |
| 1871617019 | David J. Charlton | Specialist/Technologist | 1020 Eastside Highway, Corvallis, MT 59828 | 2007-03-16 |
| 1093870560 | Corvallis Drug Inc | Durable Medical Equipment & Medical Supplies | 1029 Main Street, Corvallis, MT 59828-0009 | 2006-12-26 |
| 1477592509 | John D Hutchison | Optometrist | 1031 Main Street, Corvallis, MT 59828-0911 | 2006-06-05 |
| 1720431729 | Madeline Grace Mussman | Family Medicine | 1037 Main St, Corvallis, MT 59828-9004 | 2016-07-14 |
| 1578755856 | Brett Gordon Mildenberger | Optometrist | 473 Cayuse Trl, Corvallis, MT 59828-9259 | 2007-08-10 |
| 1356726111 | Kellie D Mildenberger | Social Worker | 473 Cayuse Trl, Corvallis, MT 59828-9259 | 2015-07-22 |
| 1457405680 | Phyllis Jean Bookbinder | Counselor | 1135 Catherine Ln, Corvallis, MT 59828-9321 | 2007-01-23 |
| 1396832127 | Marcus Daly Memorial Hospital Corporation | Family Medicine | 1037 Main Street, Corvallis, MT 59828-9374 | 2006-10-05 |
| Find all providers in zip 59828 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114347549 | Stepping Out Physical Therapy and Custom Feet Orthotics | Physical Therapist | 3498 Nw Deer Run St, Corvallis, OR 97330-3111 | 2014-04-24 |
| 1861635138 | Justin Meier | Physical Therapist | 1128 Ne 2nd St. Ste 201, Corvallis, OR 97330 | 2009-04-15 |
| 1972751725 | Bartlett Physical Therapy, Inc. | Physical Therapist | 2747 Nw 9th St, Corvallis, OR 97330 | 2008-09-05 |
| 1114097649 | Richard Eugene Lague | Physical Therapist | Hfc Dixon Recreation Center, Oregon State University, Corvallis, OR 97331 | 2006-11-09 |
| 1043870264 | Motus Physical Therapy Nw, LLC | Physical Therapist | 2323 Nw 9th St, Corvallis, OR 97330-1573 | 2019-06-19 |
| 1811016215 | Mayron M Yip-ng | Physical Therapist | 2865 Nw 29th St, Corvallis, OR 97330 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265302 | Kelli Wrolstad | Physical Therapist | 129 Skaggs Building, Missoula, MT 59812-0001 | 2020-08-13 |
| 1346886405 | Helena Spine and Joint Rehab | Physical Therapist | 2956 Aspenway Dr, Helena, MT 59601-6601 | 2019-11-25 |
| 1033764055 | Shannon Moore | Physical Therapist | 235 Open Sky Way, Kila, MT 59920-7700 | 2019-08-06 |
| 1912253204 | Nicole Lynn Feliksa | Physical Therapist | 23 Lyla Ln, Plains, MT 59859-9204 | 2012-07-24 |
| 1578822821 | Fred Lerch | Physical Therapist | 117 Apple House Ln, Ste 501, Missoula, MT 59802-3324 | 2012-05-07 |
| 1013183110 | Timothy G Redfern | Physical Therapist | 472 Tammany Lane, Hamilton, MT 59840-9216 | 2008-05-08 |
| 1790981165 | Miri Allyn Disney-faller | Physical Therapist | 2244 South Ave W, Missoula, MT 59801-6502 | 2007-06-22 |
| 1740499458 | Patricia Marie Mangan | Physical Therapist | 3055 N Reserve St Ste D, Missoula, MT 59808 | 2007-05-21 |
| 1245448828 | Elizabeth R Ikeda | Physical Therapist | 3036 Queen St, Missoula, MT 59801-8651 | 2007-05-18 |
| 1205056132 | Irina Shuck | Physical Therapist | 5014 Maple Ridge Cir, Billings, MT 59106-4429 | 2007-04-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.