Cody Robert Payne, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4021 Issued in OK

Practice address

3613 NW 56TH St
Suite 202
Oklahoma City, OK 73112-4526

Phone

(405) 948-8686

Fax

(405) 978-8603

NPI assigned

Jul 31, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

H2 Health Oklahoma Outpatient Clinics LLCGroup PAC ID 3072562412, 44 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 and National Provider Directory roles.

• H2 Health Oklahoma Outpatient Clinics LLC

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1982683306
  Medicare reassignment Care Compare group NPD
• H2 Rehabilitation Services of Lawton LP

  • Physical Therapist
  • Lawton, OK
  • NPI 1144310814
  Medicare reassignment NPD
• H2 Rehabilitation Services of Mustang LP

  • Physical Therapy Clinic/Center
  • Mustang, OK
  • NPI 1447332077

  Physical Therapist

  Medicare reassignment NPD
• Reneau Rehab Inc

  • Physical Therapist
  • Jenks, OK
  • NPI 1134835309
  Medicare reassignment NPD
• Image Redefined

  • Massage Therapist
  • Oklahoma City, OK
  • NPI 1508735622
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1053501437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 NW 56TH ST",
            "address_2": "SUITE 202",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124526",
            "telephone_number": "405-948-8686",
            "fax_number": "405-978-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 NW 56TH ST",
            "address_2": "SUITE 202",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124526",
            "telephone_number": "405-948-8686",
            "fax_number": "405-978-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "CODY",
        "middle_name": "ROBERT",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4021",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1197631",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200132560A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4021",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Payne, RDLD
• Bayshon Payne
• Candace Payne
• Cassidy L Payne, APRN-CNP
• Cicely Danielle Payne
• Houston Michael Payne
• James Payne
• Jeremy Michael Payne
• Joshua Edison Payne, MD
• Katherine J Payne, PA-C

• Physical Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.