Active NPI
Cody Wolford, PT, DPT
- Physical Therapist
- St Augustine, FL
National Provider Identifier
1952192940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 125 Land Grant Street
Suite 3
St Augustine, FL 32092-2260 - Phone
- (904) 580-3148
- NPI assigned
- May 16, 2025
- Last updated
- Jul 22, 2026
- 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 | NU | Primary |
Addresses
Primary practice location
125 Land Grant Street
Suite 3
St Augustine, FL 32092-2260
Mailing address
73 Mellowood LN
St Augustine, FL 32092-3398
Phone (540) 327-4212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1952192940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 MELLOWOOD LN",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923398",
"telephone_number": "540-327-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 LAND GRANT STREET",
"address_2": "SUITE 3",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320922260",
"telephone_number": "904-580-3148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFORD",
"first_name": "CODY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-16",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.