Individual provider Active NPI

Cody A Swartzendruber

  • Physical Therapist
  • Avon, CO
National Provider Identifier
1811533623
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
50 Buck Creek Rd Ste 210
Avon, CO 81620-5428
Phone
(970) 470-4023
NPI assigned
Nov 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

50 Buck Creek Rd Ste 210
Avon, CO 81620-5428

Mailing address

50 Buck Creek Rd Ste 210
Avon, CO 81620-5428
Phone (970) 470-4023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200814000054 CO Practitioner - Physical Therapist in Private Practice 4082030572 Reassigns benefits to 1 organization
I20241023004804 NJ Practitioner - Physical Therapist in Private Practice 4082030572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Boro Physical Therapy Associates, PAGroup PAC ID 8527962950, 89 clinicians
Sara J. Manwiller, Inc.Group PAC ID 1052392529, 5 clinicians

Practice addresses (Care Compare)

2050 State Route 27
Suite 107
North Brunswick, NJ 08902-1380
Phone (732) 745-2727

50 Buck Creek Rd
Suite 210
Avon, CO 81620-5428
Phone (970) 470-4028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sara J. Manwiller, Inc Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC Single Specialty CurrentSince Feb 3, 2025 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Feb 3, 2025 Accepting new patients
Twin Boro Physical Therapy Associates PA Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince Sep 1, 2024 Accepting new patients
Well P.C. Single Specialty PastSince Jul 1, 2020 Accepting new patients

Locations

100 K Johnson Blvd
Ste 202
Bordentown, NJ 08505

20 Commerce Dr
Ste 210
Cranford, NJ 07016

999 Route 73 N
Ste 401
Marlton, NJ 08053

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

1124 South Ave W
Westfield, NJ 07090
Phone (908) 212-9711

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1811533623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BUCK CREEK RD STE 210",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205428",
            "telephone_number": "970-470-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BUCK CREEK RD STE 210",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205428",
            "telephone_number": "970-470-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZENDRUBER",
        "first_name": "CODY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-27",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.