Active NPI
Cody F Davis, DPT
- Physical Therapist
- Issaquah, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60966226
- Practice address
- 510 8TH Ave NE Ste 340
Issaquah, WA 98029-5449 - Phone
- (425) 313-3051
- Fax
- (425) 313-3055
- NPI assigned
- May 31, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60966226 | WA | Primary |
Addresses
Primary practice location
510 8TH Ave NE Ste 340
Issaquah, WA 98029-5449
Mailing address
510 8TH Ave NE Ste 320
Issaquah, WA 98029-5436
Phone (425) 313-3051
Other practice location 1
17650 140th Ave SE Ste B7
Renton, WA 98058-6814
Phone (425) 430-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134581 | Medicaid | WA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons, Inc., P.S. | Physical Therapist | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
1200 112th Ave NE
Ste C260
Bellevue, WA 98004
Phone (425) 313-3055
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
510 8th Ave NE
Ste 340
Issaquah, WA 98029
Phone (425) 313-3051
510 8th Ave NE
Ste 320
Issaquah, WA 98029
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
17650 140th Ave SE
Ste B7
Renton, WA 98058
Phone (425) 430-0700
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
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.
-
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
- Physical Therapist
- Auburn, WA
- NPI 1902808470
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Physical Therapist
- Bellevue, WA
- NPI 1831138783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1508424920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 8TH AVE NE STE 320",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980295436",
"telephone_number": "425-313-3051",
"fax_number": "425-313-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 8TH AVE NE STE 340",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980295449",
"telephone_number": "425-313-3051",
"fax_number": "425-313-3055"
}
],
"practiceLocations": [
{
"address_1": "17650 140th Ave SE Ste B7",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980586814",
"country_code": "US",
"telephone_number": "425-430-0700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "CODY",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-31",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60966226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2134581",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.