Individual provider Active NPI

Cody Benson, DPT

  • Physical Therapist
  • Bountiful, UT
National Provider Identifier
1417523895
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12298547-2401 Issued in UT
Practice address
596 W 750 S Ste 210
Bountiful, UT 84010-7262
Phone
(801) 298-2533
Fax
(801) 928-2882
NPI assigned
May 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 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 12298547-2401 UT Primary

Addresses

Primary practice location

596 W 750 S Ste 210
Bountiful, UT 84010-7262

Mailing address

5151 S 900 E Ste 100
Salt Lake City, UT 84117-6658
Phone (801) 261-3321

Other practice location 1

3401 N Center St Ste 200
Lehi, UT 84043-7499
Phone (385) 309-1951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712000358 UT Practitioner - Physical Therapist in Private Practice 6305248519 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
Hand and Orthopedic Rehabilitation Specialists PCGroup PAC ID 0547252207, 26 clinicians

Practice addresses (Care Compare)

596 W 750
Suite 210
Bountiful, UT 84010-7262
Phone (801) 298-2533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12298547-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fyzical Audiology LLC CurrentSince May 27, 2021 Accepting new patients
Hand & Orthopedic Rehabilitation Specialists PC Physical Therapist Current Accepting new patients
Hand & Orthopedic Rehabilitation Specialists CurrentSince May 16, 2022 Accepting new patients
Hand & Orthopedic Rehabilitation Specialists PC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Hand & Orthopedic Rehabilitation Specialists PC Physical Therapist Past Accepting new patients

Locations

596 W 750 S
Ste 210
Bountiful, UT 84010
Phone (801) 298-2533

3401 N Center St
Ste 200
Lehi, UT 84043
Phone (385) 309-1951

5151 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 261-3321

3303 N University Ave
Provo, UT 84604
Phone (801) 373-7438

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1417523895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 S 900 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841176658",
            "telephone_number": "801-261-3321",
            "fax_number": "801-261-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 W 750 S STE 210",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107262",
            "telephone_number": "801-298-2533",
            "fax_number": "801-928-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 N Center St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840437499",
            "country_code": "US",
            "telephone_number": "385-309-1951",
            "fax_number": "385-248-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "CODY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12298547-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.