Cody Hartz, MA, ATC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

36002487A Issued in IN

Practice address

2000 W University Ave
Muncie, IN 47306-1022

Phone

(765) 285-4469

NPI assigned

Feb 7, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Ball State University

  dba Ball State Sports Medicine

  • Primary Care Nurse Practitioner
  • Muncie, IN
  • NPI 1295137925
  NPD (past)
• Burris Laboratory School

  • Local Education Agency (LEA)
  • Muncie, IN
  • NPI 1407984107
  NPD (past)

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1306345194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W. UNIVERSITY AVE.",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "47306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W UNIVERSITY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473061022",
            "telephone_number": "765-285-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZ",
        "first_name": "CODY",
        "credential": "MA, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "IN",
            "license": "36002487A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastacia Harrold, RBT
• Althea Hart
• Brian Hart, LMHC
• Kacie Harting, RBT
• Bradley E Hartman, LMHC
• Joseph Howard Haslitt, MD
• Veronica Dawn Hasty, LPN
• Lydia G Hatfield, RD
• Michelle Renee Haughn, PTA
• Porter Haught

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.