Priscilla Lea Cody, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-06696 Issued in KS

Practice address

11340 Nall Ave Ste 200
Overland Park, KS 66211-1234

Phone

(913) 354-5020

Fax

(913) 354-5009

NPI assigned

May 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Priscilla Lea Paoli Former name

Medicare fee-for-service enrollment

Enrolled in MO

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 and National Provider Directory roles.

• Serc Rehabilitation Partners, LLC

  • Physical Therapist
  • Belton, MO
  • NPI 1760745244

  MO, Physical Therapist

  Medicare reassignment NPD
• Serc Rebabilitation Partners, LLC

  • Physical Therapist
  • Overland Park, KS
  • NPI 1598190209
  NPD

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1780112409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22120 MIDLAND DR STE 1",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263554",
            "telephone_number": "913-745-4064",
            "fax_number": "913-745-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 NALL AVE STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111234",
            "telephone_number": "913-354-5020",
            "fax_number": "913-354-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "PRISCILLA",
        "middle_name": "LEA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILLA",
            "last_name": "PAOLI",
            "middle_name": "LEA",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Coakley, LMSW
• Ella Coash-Johnson
• Lena Coates
• Shawn Randall Coates, O.T.
• Toni Cockrell, LPC
• Allison Annette Coffman
• Lauren Coffman
• Beau Cohen, PT
• Donald L Cohen, DO
• Lauren Cohen

• All providers in Overland Park, KS
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.