Individual provider Active NPI

Justin Kody

  • Orthopedic Physical Therapist
  • Englewood, CO
National Provider Identifier
1023629490
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTL.0018002 Issued in CO
Practice address
175 Inverness Dr W Ste 100
Englewood, CO 80112-5066
Phone
(303) 694-3333
Fax
(303) 694-9666
NPI assigned
Aug 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTL.0018002 CO Primary
Orthopedic Physical Therapist 2251X0800X MA

Addresses

Primary practice location

175 Inverness Dr W Ste 100
Englewood, CO 80112-5066

Mailing address

590 N Logan St
Denver, CO 80203-3667
Phone (970) 624-1103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0018002COMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hardy Physical Therapy Rehabilitation Services Inc Physical Therapist CurrentSince Sep 14, 2020 Accepting new patients
Uchealth Community Services Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients

Locations

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

4660 Yosemite St
Ste 100
Denver, CO 80238
Phone (720) 516-8900

175 Inverness Dr W
Ste 130
Englewood, CO 80112

175 Inverness Dr W
Ste 100
Greenwood Village, CO 80112
Phone (303) 964-3333

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

205 Washington St
Hudson, MA 01749
Phone (978) 562-3114

112 Main St
Northborough, MA 01532
Phone (508) 393-7223

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1023629490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 N LOGAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033667",
            "telephone_number": "970-624-1103",
            "fax_number": "970-490-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 INVERNESS DR W STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125066",
            "telephone_number": "303-694-3333",
            "fax_number": "303-694-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODY",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL.0018002",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.