Cody Brenneman, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT027614 Issued in PA

Practice address

3560 PA-309
Orefield, PA 18069

Phone

(484) 426-2005

Fax

(610) 366-8508

NPI assigned

Apr 29, 2019

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Cody Brenneman Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2019.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1629632385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 PA-309",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "18069",
            "telephone_number": "484-426-2005",
            "fax_number": "610-366-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 PA-309",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "18069",
            "telephone_number": "484-426-2005",
            "fax_number": "610-366-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNEMAN",
        "first_name": "CODY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CODY",
            "last_name": "BRENNEMAN",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Catherine Bilyk, DO
• Theresa A Bissell, MA
• Joanna Boyington, PHYSICIAN ASSISTANT
• Nicole Bravo
• Deborah A Bren, DO
• Sheila Brown, MD
• Bruce R. Ganey, Inc.
• Erin E Bufford
• Elizabeth Burello, DC
• Madinah Aaliyah Campbell

• All providers in Orefield, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.