Cody Jefferson Jacks, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2835 Childress Dr
Anderson, CA 96007-3563

Phone

(530) 378-0098

NPI assigned

Aug 22, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Physical Therapy IncGroup PAC ID 8022076348, 36 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

73.93 of 100Reported as group

Quality

50.39

Promoting interoperability

100

Improvement activities

40

Cost

46.05

Merit-based Incentive Payment System (MIPS)

Final score

76.21 of 100Reported as group

Quality

38.71

Promoting interoperability

100

Improvement activities

40

Cost

68.39

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Western Physical Therapy, Inc.

  dba Colusa Physical Therapy

  • Physical Therapy Clinic/Center
  • Colusa, CA
  • NPI 1740216332

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Northern Asset Management Inc

  dba Anderson Physical Therapy

  • Physical Therapist
  • Anderson, CA
  • NPI 1679599161
  Medicare reassignment NPD
• Western Physical Therapy, Inc.

  dba Parkside Physical Therapy

  • Physical Therapy Clinic/Center
  • Chico, CA
  • NPI 1194178640
  NPD
• Western Physical Therapy, Inc.

  dba Summit Physical Therapy

  • Physical Therapist
  • Chico, CA
  • NPI 1598632697
  NPD
• Farwest Rehabilitation, Inc

  dba Mountain View Physical Therapy

  • Specialist
  • Redding, CA
  • NPI 1861406100
  NPD (past)

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1669148391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5874 AVERY WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033095",
            "telephone_number": "907-602-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 CHILDRESS DR",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073563",
            "telephone_number": "530-378-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKS",
        "first_name": "CODY",
        "middle_name": "JEFFERSON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Hofmann, APRN FNP-BC
• Justin C Holt
• David Horstman, CADC-CAS
• Erin Hunt
• Stacey Hutchison
• John R. Munro M.D. (Anderson Walk-In Medical Clinic)
• Teressa Kalchert
• Toni Kelly
• Tijen Keser
• Kevin Snider Physical Therapy, Inc

• Physical Therapist in Anderson, CA
• Providers in Anderson, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.