Individual provider Active NPI

Robert Christopher Humphrey, DPT

  • Physical Therapy Clinic/Center
  • El Cerrito, CA
National Provider Identifier
1043042732
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
306659 Issued in CA
Practice address
425 Kearney St
El Cerrito, CA 94530-3656
Phone
(510) 524-2177
NPI assigned
Aug 20, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 306659 CA Primary

Addresses

Primary practice location

425 Kearney St
El Cerrito, CA 94530-3656

Mailing address

6 Berkshire St
Moraga, CA 94556-1045
Phone (925) 389-8678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709003311 CA Practitioner - Physical Therapist in Private Practice 7911411038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Physical Therapy IncGroup PAC ID 2365420601, 14 clinicians

Practice addresses (Care Compare)

3468 Mt Diablo Blvd
Lafayette, CA 94549-7105
Phone (925) 284-6150

380 Civic Dr
Suite 100
Pleasant Hill, CA 94523-1946
Phone (925) 284-3840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Physical Therapy, Inc. CurrentSince Jul 17, 2025 Accepting new patients
Lafayette Physical Therapy, Inc. CurrentSince Oct 2, 2022 Accepting new patients

Locations

3658 Mt Diablo Blvd
Ste 100
Lafayette, CA 94549
Phone (925) 284-6150

3658 Mt Diablo Blvd
Ste 201
Lafayette, CA 94549
Phone (925) 284-6150

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1043042732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BERKSHIRE ST",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945561045",
            "telephone_number": "925-389-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 KEARNEY ST",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303656",
            "telephone_number": "510-524-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "ROBERT",
        "middle_name": "CHRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "306659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cerrito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.