Individual provider Active NPI

Cody G Svedin

  • Physical Therapist
  • Nampa, ID
National Provider Identifier
1336939941
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5251 E Exchange Way
Nampa, ID 83687-5507
Phone
(208) 466-9642
NPI assigned
May 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 Primary

Addresses

Primary practice location

5251 E Exchange Way
Nampa, ID 83687-5507

Mailing address

7833 S Robinson Rd
Melba, ID 83641-6035
Phone (208) 989-6049

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702004441 ID Practitioner - Physical Therapist in Private Practice 9335652130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians

Practice addresses (Care Compare)

1450 E Fairview Ave
Suite 201
Meridian, ID 83642-1819
Phone (208) 887-6757

1800 Flandro Dr
Suite 190
Pocatello, ID 83202-4940
Phone (208) 233-2248

4623 Enterprise Way
Caldwell, ID 83605-6764
Phone (208) 455-4231

5251 E Exchange Way
Nampa, ID 83687-5507
Phone (208) 466-9642

875 E Plaza Dr
Suite 103
Eagle, ID 83616-6549
Phone (208) 939-0886

912 S Washington Ave
Emmett, ID 83617-3501
Phone (208) 365-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince May 26, 2025 Accepting new patients
McDonald Rehab, PC Physical Therapist PastSince Apr 29, 2024 Accepting new patients

Locations

588 Fort Hall Ave
American Falls, ID 83211
Phone (208) 233-2248

1961 S Broadway Ave
Boise, ID 83706
Phone (208) 344-1851

8727 W Ardene St
Ste 102G
Boise, ID 83709
Phone (208) 322-6200

875 E Plaza Dr
Ste 103
Eagle, ID 83616
Phone (208) 229-7075

912 S Washington Ave
Emmett, ID 83617
Phone (208) 365-4400

3345 Potomac Way
Idaho Falls, ID 83404
Phone (208) 417-0090

1680 E 1st St
Idaho Falls, ID 83401
Phone (208) 417-0090

2210 Coronado St
Idaho Falls, ID 83404
Phone (208) 317-3956

672 E Wythe Creek Ct
Ste 103
Kuna, ID 83634
Phone (208) 922-9828

5251 E Exchange Way
Nampa, ID 83687
Phone (208) 466-9642

1800 Flandro Dr
Ste 190
Pocatello, ID 83202
Phone (208) 233-2248

128 Vista Dr
Pocatello, ID 83201
Phone (208) 233-2248

136 W Main St
Rexburg, ID 83440
Phone (208) 233-2248

Organizations & group practices 2

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": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1336939941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7833 S ROBINSON RD",
            "city": "MELBA",
            "state": "ID",
            "postal_code": "836416035",
            "telephone_number": "208-989-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 E EXCHANGE WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875507",
            "telephone_number": "208-466-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVEDIN",
        "first_name": "CODY",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.