Individual provider Active NPI

Cody Ray Gingerich, DPT

  • Physical Therapist
  • Greenville, SC
National Provider Identifier
1376053520
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212173 Issued in VA
Practice address
1320 Hampton Ave Ste 11B
Greenville, SC 29601-1044
Phone
(864) 900-2975
NPI assigned
Oct 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X
Student in an Organized Health Care Education/Training Program 390200000X
Physical Therapist 225100000X 2305212173 VA Primary

Addresses

Primary practice location

1320 Hampton Ave Ste 11B
Greenville, SC 29601-1044

Mailing address

210 Edgewood Dr
Greenville, SC 29605-4240
Phone (937) 623-1975

Other practice location 1

201 E University Pkwy
Baltimore, MD 21218-2829
Phone (855) 546-1726

Other practice location 2

757 University City Blvd
Blacksburg, VA 24060
Phone (540) 585-4841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305212173VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gingerich LLC CurrentSince Jan 31, 2021 Accepting new patients

Locations

1320 Hampton Avenue Ext
Ste 11B
Greenville, SC 29601
Phone (864) 900-2975

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": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1376053520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 EDGEWOOD DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054240",
            "telephone_number": "937-623-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 HAMPTON AVE STE 11B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296011044",
            "telephone_number": "864-900-2975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E University Pkwy",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212182829",
            "country_code": "US",
            "telephone_number": "855-546-1726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 University City Blvd",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "24060",
            "country_code": "US",
            "telephone_number": "540-585-4841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINGERICH",
        "first_name": "CODY",
        "middle_name": "RAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.