Individual provider Active NPI

Cody Prosser, DPT

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1154980027
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212876 Issued in VA
Practice address
7650 E Parham Rd
Richmond, VA 23294
Phone
(804) 282-6338
NPI assigned
Jun 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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 2305212876 VA Primary

Addresses

Primary practice location

7650 E Parham Rd
Richmond, VA 23294

Mailing address

1115 Boulders Pkwy Ste 200
North Chesterfield, VA 23225-4067
Phone (804) 560-5595

Other practice location 1

1300 Alverser Plaza
Midlothian, VA 23113
Phone (804) 378-9968

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address cprosser27594@direct.orthovirginia.com Other
Direct Messaging Address cprosser27594@direct.orthovirginia.com Other
Direct Messaging Address cprosser27594@direct.orthovirginia.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812000725 VA Practitioner - Physical Therapist in Private Practice 8325375520 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
85.78
Promoting interoperability
99
Improvement activities
40
Cost
75.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince Oct 14, 2019 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients
Orthovirginia Inc Physical Therapist Current Accepting new patients
Back to Motion Physical Therapy, PLLC Physical Therapist CurrentSince Apr 17, 2023 Accepting new patients
Virginia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients
Center for Physical Therapy & Sports Medicine, PC Physical Therapist PastSince Jun 13, 2019 Accepting new patients

Locations

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

4870 Sadler Rd
Ste 300
Glen Allen, VA 23060
Phone (757) 524-2304

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

15757 Wc Main St
Midlothian, VA 23113
Phone (804) 858-0220

12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

7650 E Parham Rd
Ste 100
Richmond, VA 23294
Phone (804) 282-6338

Interoperability endpoints

  • Direct secure messaging: cprosser27594@direct.orthovirginia.com

Organizations & group practices 7

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1154980027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BOULDERS PKWY STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232254067",
            "telephone_number": "804-560-5595",
            "fax_number": "804-560-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 E PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23294",
            "telephone_number": "804-282-6338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Alverser Plaza",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "23113",
            "country_code": "US",
            "telephone_number": "804-378-9968",
            "fax_number": "804-378-8870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROSSER",
        "first_name": "CODY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cprosser27594@direct.orthovirginia.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "7650 E Parham Rd",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cprosser27594@direct.orthovirginia.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "7650 E Parham Rd",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cprosser27594@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Prosser direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "7650 E Parham Rd",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.