Active NPI
Cody Bender
- Physical Therapy Assistant
- Billings, MT
National Provider Identifier
1033740592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTP-PTA-LIC-17329
- Practice address
- 9036 Snow Water Dr
Billings, MT 59101-8011 - Phone
- (406) 697-4299
- NPI assigned
- Feb 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTP-PTA-LIC-17329 | MT | Primary |
Addresses
Primary practice location
9036 Snow Water Dr
Billings, MT 59101-8011
Mailing address
9036 Snow Water Dr
Billings, MT 59101-8011
Phone (406) 697-4299
Other practice location 1
7540 N 19th Ave
Phoenix, AZ 85021-7967
Phone (888) 873-4221 ext. 510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033740592 | Other | OTHER INSURANCE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTP-PTA-LIC-17329 | MT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1033740592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9036 SNOW WATER DR",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591018011",
"telephone_number": "406-697-4299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9036 SNOW WATER DR",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591018011",
"telephone_number": "406-697-4299"
}
],
"practiceLocations": [
{
"address_1": "7540 N 19th Ave",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850217967",
"country_code": "US",
"telephone_number": "888-873-4221 x510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENDER",
"first_name": "CODY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-03",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MT",
"license": "PTP-PTA-LIC-17329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER INSURANCE",
"identifier": "1033740592",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.