Active NPI
Cody Allen Digiovanni, PT
- Physical Therapist
- Roscoe, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070024156
- Practice address
- 5605 E Rockton Rd
Roscoe, IL 61073-7601 - Phone
- (815) 525-4410
- Fax
- (815) 525-4505
- NPI assigned
- Aug 18, 2021
- Last updated
- Aug 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14481 | WI | |
| Physical Therapist | 225100000X | 070024156 | IL | Primary |
Addresses
Primary practice location
5605 E Rockton Rd
Roscoe, IL 61073-7601
Mailing address
1969 W Hart Rd
Beloit, WI 53511-2298
Phone (608) 364-5173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070024156 | IL | MD | Physical Therapist |
| 14481 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beloit Clinic, S.C. | Current | Accepting new patients | |
| Beloit Health System, Inc | Current | Accepting new patients | |
| Beloit Health System Inc | Current | Accepting new patients | |
| Beloit Health System Inc | Current | Accepting new patients | |
| Beloit Health System, Inc | Current | Accepting new patients |
Locations
5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000
1650 Lee Ln
Beloit, WI 53511
Phone (608) 364-4666
1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Beloit, WI
- NPI 1548345887
-
dba Hendricks Family Heart Hospital
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Beloit, WI
- NPI 1568677417
-
dba Family Medicine - BHS
- Internal Medicine Physician
- Beloit, WI
- NPI 1912199340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1396411591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1969 W HART RD",
"city": "BELOIT",
"state": "WI",
"postal_code": "535112298",
"telephone_number": "608-364-5173",
"fax_number": "608-363-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5605 E ROCKTON RD",
"city": "ROSCOE",
"state": "IL",
"postal_code": "610737601",
"telephone_number": "815-525-4410",
"fax_number": "815-525-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGIOVANNI",
"first_name": "CODY",
"middle_name": "ALLEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "14481",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070024156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roscoe, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.