Individual provider Active NPI

Cody Hatfield

  • Physical Medicine & Rehabilitation Physician
  • Roseburg, OR
National Provider Identifier
1265912752
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
62707 Issued in OR
Practice address
470 NE Stephens St Ste 102
Roseburg, OR 97470-3158
Phone
(541) 673-5770
NPI assigned
Aug 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 62707 OR Primary

Addresses

Primary practice location

470 NE Stephens St Ste 102
Roseburg, OR 97470-3158

Mailing address

470 NE Stephens St Ste 102
Roseburg, OR 97470-3158
Phone (541) 673-5770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181005001062 OR Practitioner - Physical Therapist in Private Practice 1557613361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Services LLCGroup PAC ID 0648315614, 2 clinicians

Practice addresses (Care Compare)

470 NE Stephens St
Suite 102
Roseburg, OR 97470-3158
Phone (541) 673-5770

Merit-based Incentive Payment System (MIPS)

Final score
94.21 of 100Reported as individual
Quality
90
Improvement activities
40
Cost
94.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Services LLC CurrentSince Aug 20, 2018 Accepting new patients

Locations

470 NE Stephens St
Ste 102
Roseburg, OR 97470
Phone (541) 673-5770

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1265912752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 NE STEPHENS ST STE 102",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703158",
            "telephone_number": "541-673-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 NE STEPHENS ST STE 102",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703158",
            "telephone_number": "541-673-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "CODY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "62707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.