Individual provider Active NPI

Cody Pisz, PT, DPT

  • Physical Therapist
  • Albuquerque, NM
National Provider Identifier
1265261994
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2024-0169 Issued in NM
Practice address
4400 Lead Ave SE
Albuquerque, NM 87108-2844
Phone
(505) 266-3655
NPI assigned
Jul 31, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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 PT-2024-0169 NM Primary

Addresses

Primary practice location

4400 Lead Ave SE
Albuquerque, NM 87108-2844

Mailing address

1719 Van CT SW
Albuquerque, NM 87105-6157
Phone (505) 450-8391

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828004939 NM Practitioner - Physical Therapist in Private Practice 3678012002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New Mexico School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Langford Consulting IncorporatedGroup PAC ID 3274522263, 23 clinicians

Practice addresses (Care Compare)

4400 Lead Ave SE
Dba Langford Sports and Physical Therapy
Albuquerque, NM 87108-2844
Phone (505) 266-3655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-2024-0169NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Langford Consulting Inc Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

4400 Lead Ave SE
Albuquerque, NM 87108
Phone (505) 266-3655

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": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1265261994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 VAN CT SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871056157",
            "telephone_number": "505-450-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 LEAD AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082844",
            "telephone_number": "505-266-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISZ",
        "first_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2024-0169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.