Active NPI
Cody Wiley Sliva, PT, DPT
- Physical Therapist
- Leawood, KS
National Provider Identifier
1063002780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-06654
- Practice address
- 5241 W 151St Ter
Leawood, KS 66224-9721 - Phone
- (913) 270-6187
- NPI assigned
- Jan 26, 2021
- Last updated
- Jan 26, 2021
- 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 Therapist | 225100000X | 11-06654 | KS | Primary |
Addresses
Primary practice location
5241 W 151St Ter
Leawood, KS 66224-9721
Mailing address
12614 W 70TH Ter
Shawnee, KS 66216-2625
Phone (913) 221-3230
Other practice location 1
12614 W 70th Ter
Shawnee, KS 66216-2625
Phone (913) 221-3230
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11-06654 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1063002780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12614 W 70TH TER",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662162625",
"telephone_number": "913-221-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5241 W 151ST TER",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662249721",
"telephone_number": "913-270-6187"
}
],
"practiceLocations": [
{
"address_1": "12614 W 70th Ter",
"address_purpose": "LOCATION",
"city": "Shawnee",
"state": "KS",
"postal_code": "662162625",
"country_code": "US",
"telephone_number": "913-221-3230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLIVA",
"first_name": "CODY",
"middle_name": "WILEY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-06654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.