Cody B Wilburn, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

05015324A Issued in IN

Practice address

1260 Innovation Pkwy Ste 135
Greenwood, IN 46143-3602

Phone

(317) 956-1082

NPI assigned

Nov 9, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Indiana Orthopaedic Hospital, LLC

  • Special Hospital
  • Indianapolis, IN
  • NPI 1508979683
  NPD (past)

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1083488084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 INNOVATION PKWY STE 135",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461433602",
            "telephone_number": "317-956-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 INNOVATION PKWY STE 135",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461433602",
            "telephone_number": "317-956-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "CODY",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015324A",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05015324A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendon Widau, DPT, PT
• Kristin Wietecha
• Natalie Wigand
• Wigs We Care
• Jeremy J Wilber, MD
• Wilfrido M. Tinio MD
• Brooke Wilkerson
• David A. Wilkerson, MSW, LCSW
• Aaron Lee Wilkins, DDS
• Susan Wilkins, M.ED., CCC-SLP

• Orthopedic Physical Therapist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Orthopedic Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.