Cody D. Stephens, M.P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

RPT1547 Issued in ID

Practice address

215 N Whitley Dr
Suite 1
Fruitland, ID 83619-2705

Phone

(208) 452-6366

Fax

(208) 452-6399

NPI assigned

Feb 20, 2006

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

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-City Physical Therapy P C 3 clinicians

Practice addresses (Care Compare)

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.

• Tri-City Physical Therapy, P.C.

  • Specialist
  • Weiser, ID
  • NPI 1477573756

  ID, Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Tri-City Physical Therapy, P.C.

  • Specialist
  • Fruitland, ID
  • NPI 1093864282
  NPD Authorized official

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174598593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N WHITLEY DR",
            "address_2": "SUITE 1",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192705",
            "telephone_number": "208-452-6366",
            "fax_number": "208-452-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N WHITLEY DR",
            "address_2": "SUITE 1",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192705",
            "telephone_number": "208-452-6366",
            "fax_number": "208-452-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "CODY",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "RPT1547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Snake River Pediatrics, PC
• Sol Physiotherapy LLC
• St Alphonsus Regional Medical Center Inc
• St Lukes Regional Medical Center
• St Lukes Regional Medical Center
• Brady Lynn Stewart, DPM
• Timmothy Stewart
• The Gardens Chiropractic
• Therapy Connection
• Carl R Thornfeldt, MD

• All providers in Fruitland, ID
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.