Individual provider Active NPI

Codie Marie Roberts, DPT

  • Physical Therapist
  • Englewood, CO
National Provider Identifier
1083975635
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004597 Issued in IA
Practice address
9800 Mt Pyramid CT Ste 400
Englewood, CO 80112-2669
Phone
(720) 600-0370
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004597 IA Primary

Addresses

Primary practice location

9800 Mt Pyramid CT Ste 400
Englewood, CO 80112-2669

Mailing address

11169 E I25 Frontage Rd Ste C
Firestone, CO 80504-5211
Phone (720) 600-0370

Other names 1

  • Codie Marie Byington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025002222 CO Practitioner - Physical Therapist in Private Practice 6406003805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Physical Therapy PLLCGroup PAC ID 5294025433, 41 clinicians

Practice addresses (Care Compare)

9224 Teddy LN
Suite 201
Lone Tree, CO 80124-6799
Phone (720) 600-0370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004597IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Physical Therapy LLC Physical Therapist Current Accepting new patients
Thoracic Park Holdings LLC Past Accepting new patients

Locations

671 Mitchell Way
Ste 208
Erie, CO 80516
Phone 72060003701

11169 E I25 Frontage Rd
Ste C
Firestone, CO 80504
Phone 72060003701

8091 Shaffer Pkwy
Ste B
Littleton, CO 80127
Phone (303) 799-6336

9224 Teddy Ln
Ste 201
Lone Tree, CO 80124
Phone (303) 799-6336

Organizations & group practices 2

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1083975635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11169 E I25 FRONTAGE RD STE C",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805045211",
            "telephone_number": "720-600-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 MT PYRAMID CT STE 400",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801122669",
            "telephone_number": "720-600-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CODIE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CODIE",
            "last_name": "BYINGTON",
            "middle_name": "MARIE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 12, 2022; 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.