Cody Shimabukuro, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT297046 Issued in CA

Practice address

78078 Country Club Dr Ste 205
Bermuda Dunes, CA 92203-8175

Phone

(760) 345-9934

NPI assigned

Oct 29, 2021

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

On the Move RehabGroup PAC ID 6709195316, 28 clinicians

All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

James Mawhiney Physical Therapy IncGroup PAC ID 5698056042, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• All Star Physical Therapy

  • Physical Therapist
  • Murrieta, CA
  • NPI 1750559431
  Medicare reassignment Care Compare group NPD
• James Mawhiney Physical Therapy Inc

  • Physical Therapist
  • Bermuda Dunes, CA
  • NPI 1851784177
  Medicare reassignment Care Compare group NPD
• On the Move Rehab

  • Physical Therapist
  • Cathedral City, CA
  • NPI 1356710925
  Medicare reassignment Care Compare group NPD
• Dynamx Physical Therapy, Inc. a Physical Therapy Corporation

  • Physical Therapy Clinic/Center
  • Buana Park, CA
  • NPI 1053755041

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758412800000",
    "number": "1346904828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8545 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353868",
            "telephone_number": "909-365-3557",
            "fax_number": "909-658-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78078 COUNTRY CLUB DR STE 205",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038175",
            "telephone_number": "760-345-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMABUKURO",
        "first_name": "CODY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-29",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Russell DO Inc
• Isai Serrano, LCSW
• Mark Shabashov, RPH
• Arif J Shaikh, M.D.
• Maridy Sherrill
• Sukhchain Singh
• Sino-US Harmony Technology Consulting Co.,LTD
• Kimberly Christina Snyder
• Malou Simon Solomon Solis, RPH
• Nina Khanna Stevens, DDS

• Physical Therapist in Bermuda Dunes, CA
• Providers in Bermuda Dunes, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.