Cody James Small, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05014543A Issued in IN

Practice address

9105 E 56TH St Ste I
Indianapolis, IN 46216-2231

Phone

(463) 207-9995

NPI assigned

Aug 30, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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.

• My Wellness Team LLC

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1619651767

  IN

  Medicare reassignment NPD

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1114473162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 E 56TH ST STE I",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162231",
            "telephone_number": "463-207-9995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Mechanic St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "ME",
            "postal_code": "048431811",
            "country_code": "US",
            "telephone_number": "207-236-4197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Amicks Ferry Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Chapin",
            "state": "SC",
            "postal_code": "290369400",
            "country_code": "US",
            "telephone_number": "803-932-2176",
            "fax_number": "803-932-2657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "CODY",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9221",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4703",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014543A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Sluss, NP
• Anthony Smaldino, DPM
• Amanda Small, LCSW
• Ashlee Small
• Brooke L Small, P.A.
• Cristin Small
• Isabella Sophia Small
• Jeanna Ann Small, COTA
• Kathleen Marie Small, NP
• Kelcie Marie Small

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.