Active NPI
Cody John Newell, PTA
- Physical Therapy Assistant
- Vista, CA
National Provider Identifier
1669088142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 50718
- Practice address
- 247 E Bobier Dr
Vista, CA 92084-3026 - Phone
- (760) 945-3033
- NPI assigned
- Sep 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 50718 | CA | Primary |
Addresses
Primary practice location
247 E Bobier Dr
Vista, CA 92084-3026
Mailing address
2000 S Melrose Dr Apt 172
Vista, CA 92081-8777
Phone (712) 898-3273
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50718 | CA | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600473600000",
"number": "1669088142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 S MELROSE DR APT 172",
"city": "VISTA",
"state": "CA",
"postal_code": "920818777",
"telephone_number": "712-898-3273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 E BOBIER DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920843026",
"telephone_number": "760-945-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWELL",
"first_name": "CODY",
"middle_name": "JOHN",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-19",
"last_updated": "2020-09-19",
"certification_date": "2020-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "50718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.