Cody Brumm, PT, DPT, AT, ATC
Individual provider Active NPI Physical Therapist · Nashville, MI
NPI 1851783450 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1851783450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501019697 (MI)
- Practice address
- 8635 Thornapple Lake Rd
Nashville, MI 49073-9789 - Phone
- (269) 838-6231
- NPI assigned
- Feb 19, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First Rehab and Sport
Center for Physical Rehabilitation and Therapy LP
Practice addresses (Care Compare)
2169 W M 43 Hwy Candd
First Rehab and Sport Corp
Hastings, MI 49058-8369
Phone (269) 309-1090
901 W Main St
Lowell, MI 49331-1581
Phone (616) 897-7055
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200831002481 | MI | Practitioner - Physical Therapist in Private Practice | 3971920364 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Rehab & Sport | Physical Therapist | Current |
Accepting new patients |
| Center for Physical Rehabilitation and Therapy LP | Physical Therapist | Current |
Accepting new patients |
| 1St Physical Therapy Inc | Physical Therapist | Past |
Accepting new patients |
Locations
5060 Cascade Rd SE
Ste A
Grand Rapids, MI 49546
Phone (616) 954-0950
2169 W M 43 Hwy
Hastings, MI 49058
Phone (269) 309-1090
2169 W M 43 Hwy
Ste Cd
Hastings, MI 49058
Phone (269) 309-1090
901 W Main St
Lowell, MI 49331
Phone (616) 897-7055
4624 N M 37 Hwy
Ste A
Middleville, MI 49333
Phone (269) 795-4230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 5501019697 | MI | Yes |
Addresses
Primary practice location
8635 Thornapple Lake Rd
Nashville, MI 49073-9789
Mailing address
8635 Thornapple Lake Rd
Nashville, MI 49073-9789
Phone (269) 838-6231
Other providers in Nashville, MI
- Amanda Waidelich
- Andrew Booi
- Michael Norman Callton
- Castleton-Maple Grove-Nashville Ambulance
- Central Pharmacy - Maple Valley LLC
- Central Pharmacy - Maple Valley LLC
- Covenant Life Birth and Wellness Foundation
All providers in Nashville, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.