Cody Suder

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24541 Issued in MT

Practice address

100 Westview Park PL
Kalispell, MT 59901-3074

Phone

(406) 393-2474

Fax

(406) 393-2475

NPI assigned

Nov 13, 2018

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Yampa Valley Medical Center

  • General Acute Care Hospital
  • Steamboat Springs, CO
  • NPI 1790787307
  Medicare reassignment NPD
• Vision Clinic PLLC

  • Optometrist
  • Kalispell, MT
  • NPI 1528240454
  NPD
• Yampa Valley Medical Center

  dba UCHealth Yampa Valley Medical Center

  • Multi-Specialty Clinic/Center
  • Steamboat Springs, CO
  • NPI 1295177426
  NPD
• Yampa Valley Medical Center

  • Pharmacy
  • Steamboat Springs, CO
  • NPI 1861814097
  NPD

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1710456348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESTVIEW PARK PL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013074",
            "telephone_number": "406-393-2474",
            "fax_number": "406-393-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTVIEW PARK PL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013074",
            "telephone_number": "406-393-2474",
            "fax_number": "406-393-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDER",
        "first_name": "CODY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-13",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-6002",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "24541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandis Leigh Strickland, APRN
• Marian E Stuart, LCSW
• Wendy Marie Stuart, MA
• McKenzie Grace Stutzman, CPM
• Timothy J. Stutzman, MD
• Sugar Pine Health
• Michael A. Sugarman, MD
• Debra K Sullivan, P.T.
• Janna Marie Sullivan, WHCNP
• Jeffrey P Sullivan, PHARMD

• Physical Therapist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.