Cody M Hart, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

TPT023554 Issued in PA

Practice address

1001 James Dr Ste A14
Leesport, PA 19533-8867

Phone

(484) 671-2065

Fax

(484) 670-2354

NPI assigned

Jun 6, 2022

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 PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Mountain Physical Therapy LLCGroup PAC ID 4981771631, 12 clinicians

Practice addresses (Care Compare)

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.

• South Mountain Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Sinking Spring, PA
  • NPI 1932374113
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1841929031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 PENN AVE",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196089672",
            "telephone_number": "610-927-5183",
            "fax_number": "610-927-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 JAMES DR STE A14",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195338867",
            "telephone_number": "484-671-2065",
            "fax_number": "484-670-2354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4740 Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Sinking Spring",
            "state": "PA",
            "postal_code": "196089672",
            "country_code": "US",
            "telephone_number": "610-927-5183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "CODY",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "TPT023554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Marie Galczynski, CRNP
• Logan Gehman, DC
• Carolyn Marie Goff, MS OTR/L
• Kristin Anne Lawler Gordos, D.M.D.
• Joanna Grzadziel, DO
• Hunter Lynn Hartranft
• Health Performance Chiropractic and Rehab PLLC
• Jessica Lynn Heck, MS, OTR/L
• Heim Staff Physicians, Inc
• Jordan David Hottenstein, D.M.D

• Physical Medicine & Rehabilitation Physician in Leesport, PA
• Providers in Leesport, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.