Joshua Chase Humphrey, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT.200092 Issued in LA

Practice address

1201 1St Ave
Mendota, IL 61342-1815

Phone

(815) 539-6745

NPI assigned

Aug 5, 2007

Last updated

May 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Rehab IncorporatedGroup PAC ID 0840289633, 6 clinicians

Fox Rehab OT Ia LLCGroup PAC ID 5890180814, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Fox Rehab OT Ia LLC

  • Occupational Therapist
  • Norwalk, IA
  • NPI 1073274585
  Medicare reassignment Care Compare group NPD
• Comprehensive Rehab Incorporated

  dba Comprehensive Rehab Inc.

  • Rehabilitation Clinic/Center
  • Clinton, IA
  • NPI 1386655272
  Medicare reassignment Care Compare group
• Fox Rehabilitation Services Il LLC

  • Physical Therapist
  • Westchester, IL
  • NPI 1114443462

  Occupational Therapist

  Medicare reassignment NPD
• PCPT of West Baton Rouge, Inc

  • Occupational Therapist
  • Brusly, LA
  • NPI 1932292190
  NPD (past)
• Physicians Choice Physical Therapy of Livingston Parish Inc

  • Physical Therapist
  • Walker, LA
  • NPI 1619060886

  Occupational Therapist

  NPD (past)
• Physicians' Choice Physical Therapy & Pain Center LLC

  • Physical Therapy Clinic/Center
  • Baton Rouge, LA
  • NPI 1972840544
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1326239492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17370 TIMBER DR",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610819281",
            "telephone_number": "815-440-4596",
            "fax_number": "225-791-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 1ST AVE",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613421815",
            "telephone_number": "815-539-6745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29419 Walker South Rd",
            "address_purpose": "LOCATION",
            "city": "Walker",
            "state": "LA",
            "postal_code": "707857905",
            "country_code": "US",
            "telephone_number": "225-791-7788",
            "fax_number": "225-791-0095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "JOSHUA",
        "middle_name": "CHASE",
        "name_prefix": "Prof.",
        "credential": "O.T.R.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.012055",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services IL LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "407 W 63rd St",
            "city": "Westmont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605592910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services IL LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "6840 N Sacramento Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606452740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela A Hansen, PA-C
• Heritage Manor - Mendota, LLC (Heritage Health - Mendota)
• Heritage Manor Mendota, LLC (Heritage Health - Mendota)
• Highland Park CVS, L.L.C. (CVS Pharmacy # 06897)
• Ashlee Hoff, OTR
• Sharon Jones Burtlow, FNP-BC
• Tracie R Kelly, APRN
• Eric A Kivisto, DO
• Krenz Dental Corp. LTD
• Jon C Krenz, DMD

• Occupational Therapist in Mendota, IL
• Providers in Mendota, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.