Individual provider Active NPI

Cody Jacox, PT, DPT

  • Physical Therapist
  • Shenandoah, TX
National Provider Identifier
1972351344
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
17937 Interstate 45 S Ste 143
Shenandoah, TX 77385-8783
Phone
(936) 273-0015
NPI assigned
May 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

17937 Interstate 45 S Ste 143
Shenandoah, TX 77385-8783

Mailing address

33132 Magnolia Cir Ste a
Magnolia, TX 77354-7072
Phone (979) 422-1572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240520001514 TX Practitioner - Physical Therapist in Private Practice 5395187587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breathing Centers of Texas, PLLCGroup PAC ID 4284781428, 7 clinicians

Practice addresses (Care Compare)

17937 Interstate 45 S
Suite 143
Shenandoah, TX 77385-8783
Phone (936) 273-0015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Breathing Centers of Texas, PLLC Physical Therapist CurrentSince May 14, 2024 Accepting new patients
Breathing Centers of Texas, PLLC Physical Therapist CurrentSince May 14, 2024 Accepting new patients
Breathing Centers of Texas, PLLC Physical Therapist Past Accepting new patients

Locations

6108 S Rice Ave
Ste 100
Houston, TX 77081
Phone (713) 660-0663

1127 Eldridge Pkwy
Ste 800
Houston, TX 77077
Phone (346) 410-5239

17937 Interstate 45 S
Ste 143
Shenandoah, TX 77385
Phone (936) 273-0015

1416 FM 528 Rd
Ste A
Webster, TX 77598
Phone (815) 238-2769

Organizations & group practices 3

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": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1972351344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33132 MAGNOLIA CIR STE A",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773547072",
            "telephone_number": "979-422-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17937 INTERSTATE 45 S STE 143",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858783",
            "telephone_number": "936-273-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOX",
        "first_name": "CODY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.