Active NPI
Cody Keck, DPT
- Physical Therapist
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10301
- Practice address
- 317 W Spring St
Cookeville, TN 38501-7102 - Phone
- (931) 526-9518
- Fax
- (931) 372-0087
- NPI assigned
- Feb 11, 2015
- 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 | 10301 | TN | Primary |
Addresses
Primary practice location
317 W Spring St
Cookeville, TN 38501-7102
Mailing address
800 Crescent Centre Dr Ste 300
Franklin, TN 37067-7285
Phone (615) 373-1350
Other practice location 1
851 S Willow Ave Ste 110
Cookeville, TN 38501-4223
Phone (931) 528-0042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 W Spring St
Cookeville, TN 38501-3125
Phone (931) 526-9518
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.09 of 100
- Quality
- 50.47
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10301 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell Clinic PC | Current | Accepting new patients | |
| Campbell Clinic, PC | Current | Accepting new patients |
Locations
317 W Spring St
Cookeville, TN 38501
Phone (931) 520-9250
335 W Spring St
Cookeville, TN 38501
Phone (931) 303-0446
105 S Willow Ave
Ste 100
Cookeville, TN 38501
Phone (931) 267-4929
105 S Willow Ave
Cookeville, TN 38501
Phone (931) 372-7716
1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111
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.
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-
- Durable Medical Equipment & Medical Supplies
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- NPI 1669366068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1992196059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CRESCENT CENTRE DR STE 300",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370677285",
"telephone_number": "615-373-1350",
"fax_number": "615-221-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 W SPRING ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385017102",
"telephone_number": "931-526-9518",
"fax_number": "931-372-0087"
}
],
"practiceLocations": [
{
"address_1": "851 S Willow Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385014223",
"country_code": "US",
"telephone_number": "931-528-0042",
"fax_number": "931-528-0049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KECK",
"first_name": "CODY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-11",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "10301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.