Prof Joshua Chase Humphrey, OTR is a medicare enrolled "Occupational Therapist" provider in Mendota, Illinois. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. He is a member of the group practice Comprehensive Rehab Incorporated, Fox Rehab Ot Ia Llc and his current practice location is
1201 1st Ave, Mendota, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 539-6745.
Prof Joshua Chase Humphrey is licensed to practice in Louisiana (license number OTT.200092) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326239492.
Healthcare Provider's Profile
| Full Name | Prof Joshua Chase Humphrey |
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| Gender | Male |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 21 Years |
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| Location | 1201 1st Ave, Mendota, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Prof Joshua Chase Humphrey graduated from medical school in 2005
NPI Data:
- NPI Number: 1326239492
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 05/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547354714
- Enrollment ID: I20250701001358
Medical Identifiers
Medical identifiers for Prof Joshua Chase Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326239492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 056.012055 (Illinois) | Secondary |
| 225X00000X | Occupational Therapist | OTT.200092 (Louisiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Comprehensive Rehab Incorporated | 0840289633 | 7 |
| Fox Rehab Ot Ia Llc | 5890180814 | 55 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prof Joshua Chase Humphrey is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Prof Joshua Chase Humphrey, OTR
17370 Timber Dr,
Sterling, IL 61081-9281
Ph: (815) 440-4596 | Prof Joshua Chase Humphrey, OTR
1201 1st Ave,
Mendota, IL 61342-1815
Ph: (815) 539-6745 |
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