Individual provider Active NPI

Cody Davis, DPT

  • Physical Therapist
  • Yankton, SD
National Provider Identifier
1639860166
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2631 Issued in SD
Practice address
801 Summit St
Yankton, SD 57078-3338
Phone
(605) 665-3861
Fax
(605) 665-3866
NPI assigned
May 16, 2023
Last updated
May 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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 2631 SD Primary

Addresses

Primary practice location

801 Summit St
Yankton, SD 57078-3338

Mailing address

900 W 25TH St
Yankton, SD 57078-1244

Other practice location 1

1407 E Cherry St
Vermillion, SD 57069-2602
Phone (605) 624-7246

Other practice location 2

101 E Cedar St
Beresford, SD 57004-1809
Phone (605) 763-8037

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

State licenses

LicenseStateTypeSpecialty
2631SDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1639860166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 25TH ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570781244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SUMMIT ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783338",
            "telephone_number": "605-665-3861",
            "fax_number": "605-665-3866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 E Cherry St",
            "address_purpose": "LOCATION",
            "city": "Vermillion",
            "state": "SD",
            "postal_code": "570692602",
            "country_code": "US",
            "telephone_number": "605-624-7246",
            "fax_number": "605-624-7177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Cedar St",
            "address_purpose": "LOCATION",
            "city": "Beresford",
            "state": "SD",
            "postal_code": "570041809",
            "country_code": "US",
            "telephone_number": "605-763-8037",
            "fax_number": "605-231-4952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.