Cody Michael Carlstrom, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

32390 Issued in AZ

Practice address

20745 N Scottsdale Rd Ste 110
Scottsdale, AZ 85255-6595

Phone

(480) 882-4934

NPI assigned

Jun 13, 2022

Last updated

Jul 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Honorhealth

  dba HonorHealth Tina's Treasures

  • Prosthetic/Orthotic Supplier
  • Peoria, AZ
  • NPI 1386456762
  NPD (past)

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1124758297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20745 N SCOTTSDALE RD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556595",
            "telephone_number": "480-882-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20745 N SCOTTSDALE RD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556595",
            "telephone_number": "480-882-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSTROM",
        "first_name": "CODY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "32390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF PHYSICAL THERAPY",
            "identifier": "LPT-32390",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deonna Carlson, CRNA
• Jenna Marie Carlson, PHARMD
• Kristina Carlson
• Sungjoon Carlson, PA-C
• Ann-Christin Carlsson-Hyatt, OTRL
• Nard Narin Carmel Naiderman, MD; MSC
• Jennifer Carmody, LPC
• Paul Carmody
• David Michael Carnduff, MED, BCBA, LBA
• Claire Carney

• Physical Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.