Active NPI
Cody Matthew Hircock, P.T.
- Physical Therapist
- Camarillo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37928
- Practice address
- 231 Camarillo Ranch Rd
Camarillo, CA 93012-5082 - Phone
- (805) 484-2026
- Fax
- (805) 389-1196
- NPI assigned
- Nov 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT37928 | CA | Primary |
Addresses
Primary practice location
231 Camarillo Ranch Rd
Camarillo, CA 93012-5082
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 Fairway Dr
Suite 400
Carrollton, TX 75010-6538
Phone (972) 394-3325
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT37928 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
3000 FM 407 E
Ste 500
Bartonville, TX 76226
Phone (940) 448-2007
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
106 N Denton Tap Rd
Ste 220
Coppell, TX 75019
Phone (469) 528-6437
5017 Teasley Ln
Ste 161
Denton, TX 76210
Phone (940) 220-2283
1050 Flower Mound Rd
Ste 140
Flower Mound, TX 75028
Phone (469) 702-5947
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
1288 W Main St
Ste 148
Lewisville, TX 75067
Phone (469) 496-3992
245 W State Highway 114
Ste 320
Southlake, TX 76092
Phone (817) 873-5311
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
Organizations & group practices 2
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1922335777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 CAMARILLO RANCH RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930125082",
"telephone_number": "805-484-2026",
"fax_number": "805-389-1196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRCOCK",
"first_name": "CODY",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-13",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT37928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.