Individual provider Active NPI

Cody Ireton

  • Physical Therapy Assistant
  • Mt Sterling, KY
National Provider Identifier
1093353500
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A04064 Issued in KY
Practice address
209 Evans Ave
Mt Sterling, KY 40353-9700
Phone
(859) 498-0011
Fax
(859) 498-5001
NPI assigned
Dec 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A04064 KY Primary

Addresses

Primary practice location

209 Evans Ave
Mt Sterling, KY 40353-9700

Mailing address

209 Evans Ave
Mt Sterling, KY 40353-9700
Phone (859) 498-0011

Other identifiers 1

IdentifierTypeStateIssuer
A04064OtherKYPHYSICAL THERAPY ASSISTANT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@sterlingphysicaltherapy.com Direct

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

LicenseStateTypeSpecialty
A04064KYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Physical Therapy & Associates PSC CurrentSince Dec 22, 2019 Accepting new patients

Locations

209 Evans Ave
Mt Sterling, KY 40353
Phone (859) 498-0011

Organizations & group practices 1

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1093353500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 EVANS AVE",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539700",
            "telephone_number": "859-498-0011",
            "fax_number": "859-498-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 EVANS AVE",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539700",
            "telephone_number": "859-498-0011",
            "fax_number": "859-498-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRETON",
        "first_name": "CODY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A04064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY ASSISTANT LICENSE",
            "identifier": "A04064",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sterlingphysicaltherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Practice email address",
            "address_1": "209 Evans Ave",
            "city": "MT Sterling",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403539700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.