Individual provider Active NPI

Cody Daniel

  • Physical Therapist
  • Valencia, CA
National Provider Identifier
1407589765
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301918 Issued in CA
Practice address
25949 The Old Rd
Valencia, CA 91381-1714
Phone
(661) 254-0077
NPI assigned
Jul 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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 301918 CA Primary

Addresses

Primary practice location

25949 The Old Rd
Valencia, CA 91381-1714

Mailing address

27621 Marta LN Apt 102
Santa Clarita, CA 91387-6527
Phone (209) 681-2782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220919001345 CA Practitioner - Physical Therapist in Private Practice 6103201710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

Practice addresses (Care Compare)

2815 S Main St
Suite 205
Corona, CA 92882-2533
Phone (951) 475-1307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301918CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy Inc Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
All Star Physical Therapy Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

2815 S Main St
Ste 205
Corona, CA 92882
Phone (951) 475-1307

10725 Zelzah Ave
#B
Granada Hills, CA 91344
Phone (818) 400-0304

450 W Palmdale Blvd
Palmdale, CA 93551
Phone (661) 273-5333

450 W Palmdale Blvd
Ste F
Palmdale, CA 93551
Phone (661) 273-5333

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

19510 Ventura Blvd
Ste 106
Tarzana, CA 91356
Phone (818) 996-1725

5620 Wilbur Ave
Ste 103
Tarzana, CA 91356
Phone (818) 345-5825

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

25949 The Old Rd
Ste N
Valencia, CA 91381
Phone (661) 254-0077

25949 The Old Rd
Valencia, CA 91381
Phone (661) 254-0077

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1407589765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27621 MARTA LN APT 102",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913876527",
            "telephone_number": "209-681-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25949 THE OLD RD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913811714",
            "telephone_number": "661-254-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "CODY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.