Individual provider Active NPI

Cody Ryan Okuda, M.S.P.T.

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1578598645
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1803 Issued in NV
Practice address
7125 Grand Montecito Pkwy
Suite 120
Las Vegas, NV 89149-0260
Phone
(702) 515-1540
Fax
(702) 515-1578
NPI assigned
Jul 11, 2006
Last updated
Apr 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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 1803 NV Primary

Addresses

Primary practice location

7125 Grand Montecito Pkwy
Suite 120
Las Vegas, NV 89149-0260

Mailing address

3831 W Charleston Blvd
Las Vegas, NV 89102-1859
Phone (702) 876-1733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000397 NV Practitioner - Physical Therapist in Private Practice 0042263618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chynoweth Hill and Leavitt LLCGroup PAC ID 7012980550, 41 clinicians

Practice addresses (Care Compare)

7125 Grand Montecito Pkwy
Suite 120
Las Vegas, NV 89149-0261
Phone (702) 515-1540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1803NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chynoweth Hill and Leavitt LLC Physical Therapist CurrentSince Jun 16, 2010 Accepting new patients
Chynoweth Hill and Leavitt LLC CurrentSince Jun 16, 2010 Accepting new patients
D Keith Kleven LTD Past Accepting new patients

Locations

8975 S Pecos Rd
Ste 7A
Henderson, NV 89074
Phone (702) 456-2024

2080 E Flamingo Rd
Ste 111
Las Vegas, NV 89119
Phone (702) 339-9668

3831 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 876-1733

4800 E Bonanza Rd
Ste 2
Las Vegas, NV 89110
Phone (702) 438-3188

7125 Grand Montecito Pkwy
Ste 120
Las Vegas, NV 89149
Phone (702) 515-1540

8925 W Russell Rd
Ste 140
Las Vegas, NV 89148
Phone (702) 914-6787

720 Robb Dr
Ste 103
Reno, NV 89523
Phone (775) 787-3733

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1578598645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021859",
            "telephone_number": "702-876-1733",
            "fax_number": "702-878-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 GRAND MONTECITO PKWY",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490260",
            "telephone_number": "702-515-1540",
            "fax_number": "702-515-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUDA",
        "first_name": "CODY",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.