Cody Wickenhauser, PT, DPT
NPI 1811364052ActiveIndividual· Physical Therapist· Bloomington, IL
Physical Therapist (PT, DPT) in Bloomington, Illinois, licensed in IL, with an NPI issued in August 2015. Medicare paid $8,181 for services to 68 patients in 2024.
Overview
| NPI | 1811364052 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Aug 24, 2015 |
| Last updated in NPPES | Aug 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070.021534 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 68 |
|---|---|
| Services billed | 445 across 5 procedure codes |
| Paid by Medicare | $8,181 |
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All 97 physical therapists in Bloomington · All physical therapists in Illinois