Active NPI
Thomas P Cody, M.D.
- Physical Medicine & Rehabilitation Physician
- Lawrence, MA
National Provider Identifier
1679566434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 78935
- Practice address
- 354 Merrimack St
Lawrence, MA 01843-1754 - Phone
- (978) 687-2321
- Fax
- (978) 722-7287
- NPI assigned
- Aug 26, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 78935 | MA | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 9108 | NH |
Addresses
Primary practice location
354 Merrimack St
Lawrence, MA 01843-1754
Mailing address
354 Merrimack St
Lawrence, MA 01843-1754
Phone (978) 687-2321
Other practice location 1
70 Butler St
Salem, NH 03079-3925
Phone (978) 687-2321
Other practice location 2
10 George St Ste 300
Lowell, MA 01852-2293
Phone (978) 687-2321
Other practice location 3
1 Parkway
Haverhill, MA 01830-6278
Phone (978) 687-2321
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23583 | Other | MA | FCHP |
| 4514539 | Other | MA | AETNA |
| J30544 | Other | MA | BCBSMA |
| 0109742Y0MA01 | Other | NH | ANTHEM |
| 0003761 | Other | MA | NHP |
| 0747292001 | Other | MA | CIGNA |
| 23-00005 | Other | MA | UHCNE |
| 078935 | Other | MA | THP |
| 30007008 | Medicaid | NH | |
| 3128393 | Medicaid | MA | |
| 80534 | Other | MA | HPHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9108 | NH | MD | Physical Medicine & Rehabilitation Physician |
Organizations & group practices 1
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 Medicine & Rehabilitation Physician
- Portsmouth, NH
- NPI 1831436633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1679566434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 MERRIMACK ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431754",
"telephone_number": "978-687-2321",
"fax_number": "978-722-7287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 MERRIMACK ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431754",
"telephone_number": "978-687-2321",
"fax_number": "978-722-7287"
}
],
"practiceLocations": [
{
"address_1": "70 Butler St",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "NH",
"postal_code": "030793925",
"country_code": "US",
"telephone_number": "978-687-2321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 George St Ste 300",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "MA",
"postal_code": "018522293",
"country_code": "US",
"telephone_number": "978-687-2321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Parkway",
"address_purpose": "LOCATION",
"city": "Haverhill",
"state": "MA",
"postal_code": "018306278",
"country_code": "US",
"telephone_number": "978-687-2321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CODY",
"first_name": "THOMAS",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "78935",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NH",
"license": "9108",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FCHP",
"identifier": "23583",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4514539",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "J30544",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0109742Y0MA01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0003761",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0747292001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHCNE",
"identifier": "23-00005",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THP",
"identifier": "078935",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30007008",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3128393",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "80534",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.