Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jodie Humphrey, PT, ATC, CSCS

Individual provider Physical Therapist · NPI 1730334392

Jodie Humphrey, PT, ATC, CSCS is a Physical Therapist in Private Practice in Pawtucket, Rhode Island. Qualified in 1994, 32 years ago. Practices with Carroll Physical Therapy, an 11-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
32
Licensed in
MA, RI
In the registry since
2008
Specialties on file
6
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

111 Brewster St
Pawtucket, RI 02860-4474
Phone: (401) 729-2316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (RI)
Physical Therapist Taxonomy 225100000X · Licence 10872 (MA)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 10872 (MA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 10872 (MA)
Athletic Trainer Taxonomy 2255A2300X · Licence AT916 (MA)
Medical Art Specialist/Technologist Taxonomy 246ZA2600X

Record details

NPI number1730334392
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , ATC , CSCS
Sole proprietorNo
NPI enumeratedNovember 24, 2008
Last updated in NPPESMay 19, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Carroll Physical Therapy — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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