Active NPI
Brad E Cody, PT
- Physical Therapist
- Westerville, OH
National Provider Identifier
1619920196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11394
- Practice address
- 1194 County Line Rd
Westerville, OH 43081-6015 - Phone
- (614) 948-3514
- Fax
- (614) 948-3515
- NPI assigned
- May 18, 2006
- 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 | 11394 | OH | Primary |
Addresses
Primary practice location
1194 County Line Rd
Westerville, OH 43081-6015
Mailing address
1194 County Line Rd
Suite 300
Westerville, OH 43081-6015
Phone (614) 948-3514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060726000079 | OH | Practitioner - Physical Therapist in Private Practice | 4385657915 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11394 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Health of Ohio | Physical Therapist | Current | Accepting new patients |
| Focus Physical Therapy and Sports Medicine | Past | Accepting new patients |
Locations
19 W Main St
Ste 9
Ashland, OH 44805
Phone (234) 274-4681
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.
-
- Physical Therapy Clinic/Center
- Westerville, OH
- NPI 1700247723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1619920196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1194 COUNTY LINE RD",
"address_2": "SUITE 300",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430816015",
"telephone_number": "614-948-3514",
"fax_number": "614-948-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1194 COUNTY LINE RD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430816015",
"telephone_number": "614-948-3514",
"fax_number": "614-948-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODY",
"first_name": "BRAD",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "11394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.