JERRY CLIFTON IVY PT
NPI 1093778680
Physical Therapist in Joseph, OR
About Jerry Clifton Ivy Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY CLIFTON IVY PT (NPI 1093778680) is an individual physical therapist in Joseph, Oregon, licensed in Oregon (2125) and active in the NPI registry since April 2006.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jerry Clifton Ivy Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jerry Ivy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Enterprise, OR 97828
- Reassigned Medicare billing, Oregon enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jerry Ivy's NPI number?
The NPI number for Jerry Ivy is 1093778680. It was assigned to this individual provider in the NPPES registry on April 6, 2006.
Where is Jerry Ivy located?
Jerry Ivy practices at 4 S Main St Ste B, Joseph, OR 97846. The listed phone number is (541) 432-1480.
What is Jerry Ivy's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jerry Ivy enrolled in Medicare?
Yes. Jerry Ivy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jerry Ivy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Ivy reassigns Medicare benefits to Winding Waters Medical Clinic (Enterprise, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Ivy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerry Ivy accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jerry Ivy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jerry Ivy was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.