Active NPI
Cody C Burns, PT
- Orthopedic Physical Therapist
- Lewisville, TX
National Provider Identifier
1194736975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1149657
- Practice address
- 724 W Main St
Suite 180
Lewisville, TX 75067-3514 - Phone
- (972) 434-6024
- Fax
- (972) 434-2784
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1149657 | TX | Primary |
Addresses
Primary practice location
724 W Main St
Suite 180
Lewisville, TX 75067-3514
Mailing address
4520 Cattail LN
Denton, TX 76208-6826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T1212 | Other | TX | BLUE CROSS PROVIDER NUMBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
724 W Main St
Suite 180
Lewisville, TX 75067-3583
Phone (972) 434-6024
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy, Inc | Orthopedic | Current | Accepting new patients |
Locations
4851 S Interstate 35 E
Ste 103
Corinth, TX 76210
724 W Main St
Ste 180
Lewisville, TX 75067
Phone (972) 434-6024
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": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194736975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 CATTAIL LN",
"city": "DENTON",
"state": "TX",
"postal_code": "762086826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 W MAIN ST",
"address_2": "SUITE 180",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673514",
"telephone_number": "972-434-6024",
"fax_number": "972-434-2784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "CODY",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1149657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "8T1212",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.