Renee C Humphrey, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008462 Issued in KY

Practice address

244 US Highway 68 E
Benton, KY 42025-7568

Phone

(270) 527-4322

Fax

(270) 252-7026

NPI assigned

Jul 12, 2006

Last updated

Feb 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Renee C Bonifer Former name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlas Physical Therapy LLCGroup PAC ID 0941523245, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.62 of 100Reported as group

Quality

74.07

Promoting interoperability

92

Improvement activities

40

Cost

71.32

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.

• Atlas Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Paducah, KY
  • NPI 1063816940
  Medicare reassignment Care Compare group NPD
• Atlas Physical Therapy LLC

  • Occupational Therapist
  • Paducah, KY
  • NPI 1518330497
  NPD (past)
• H2 Rehabilitation Services of Kentucky, LLC

  dba H2 Health

  • Rehabilitation Clinic/Center
  • Eddyville, KY
  • NPI 1447820410
  NPD (past)
• Advanced Rehabilitation,Inc.

  • Rehabilitation Clinic/Center
  • Tell City, IN
  • NPI 1154319101
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1962427054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 US HIGHWAY 68 E",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257568",
            "telephone_number": "270-527-4322",
            "fax_number": "270-252-7026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Newman Dr",
            "address_purpose": "LOCATION",
            "city": "Eddyville",
            "state": "KY",
            "postal_code": "420387734",
            "country_code": "US",
            "telephone_number": "270-901-3340",
            "fax_number": "270-901-3340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "RENEE",
        "middle_name": "C",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004101A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "BONIFER",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• HC Wound Management PSC
• Rachel Elaine Hendley
• Lori Henry
• Kayla Renee Henson, ARNP
• Jennifer Hofer, LMT
• Brittany A Hunter, APRN
• Inclusionary Therapy LLC
• J & R Consulting Services PLLC
• J W Pharmacy (J & R Pharmacy)
• J&K Pharmacy, Inc. (dba Nelson Pharmacy)

• Physical Therapist in Benton, KY
• Providers in Benton, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.