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Cody D. Stephens, M.P.T.

NPI 1174598593ActiveIndividual· Specialist· Fruitland, ID

Specialist (M.P.T.) with Tri-City Physical Therapy P C, practicing in Fruitland, Idaho. Medicare paid $49,255 for services to 75 patients in 2024.

Overview

NPI1174598593
StatusActive
Entity typeIndividual
CredentialM.P.T.
Sole proprietorNo
NPI issuedFeb 20, 2006
Last updated in NPPESJul 13, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XRPT1547ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (ID)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients75
Services billed2,641 across 12 procedure codes
Paid by Medicare$49,255

Medicare sources and data years

Education and affiliations

Graduation year2000
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other Specialist providers in Fruitland

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