Individual provider Active NPI

Cody Christopher Teague, PT, DPT

  • Physical Therapist
  • Lewisville, TX
National Provider Identifier
1548051105
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1406730 Issued in TX
Practice address
966 N Garden Ridge Blvd Ste 530
Lewisville, TX 75077-2876
Phone
(972) 420-6605
NPI assigned
May 14, 2025
Last updated
May 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 1406730 TX Primary

Addresses

Primary practice location

966 N Garden Ridge Blvd Ste 530
Lewisville, TX 75077-2876

Mailing address

966 N Garden Ridge Blvd Ste 530
Lewisville, TX 75077-2876

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250528003924 TX Practitioner - Physical Therapist in Private Practice 6103345566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

966 N Garden Ridge Blvd
Suite 530
Lewisville, TX 75077-2876
Phone (972) 420-6605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1406730TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Lewisville Therapy Center Inc Physical Therapist Current Accepting new patients
Greater Lewisville Therapy Center Inc Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Greater Lewisville Therapy Center Inc Physical Therapist CurrentSince May 19, 2025 Accepting new patients

Locations

400 W Arbrook Blvd
Ste 151
Arlington, TX 76014
Phone (817) 472-8383

3733 N Josey Ln
Ste 100
Carrollton, TX 75007
Phone (972) 395-7445

966 N Garden Ridge Blvd
Ste 530
Lewisville, TX 75077
Phone (972) 420-6605

1010 N Belt Line Rd
Ste 102
Mesquite, TX 75149
Phone (972) 288-2400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1548051105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 N GARDEN RIDGE BLVD STE 530",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 N GARDEN RIDGE BLVD STE 530",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772876",
            "telephone_number": "972-420-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "CODY",
        "middle_name": "CHRISTOPHER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1406730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.