CODY LANE CASTELLAW (DPT) – Physical Therapist, NPI 1154728426

CODY LANE CASTELLAW (DPT) is a healthcare provider. based in Rexburg, Idaho. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. PT-3504 (ID). The NPI Number for CODY LANE CASTELLAW (DPT) is 1154728426

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
CODY LANE CASTELLAW (DPT)
NPI
1154728426
Phone
(208) 359-9570
Address
393 E 2ND N
Enumeration Date
2 December 2014
Last Update Date
2 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083599570
Graduation Year
2014 (12 years ago)
PAC ID
6002198975
Group Practice PAC ID
7113201831
Professional Enrollment ID
I20170130001168
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for CODY LANE CASTELLAW (DPT)

  • 393 E 2ND N

    REXBURG, ID 834401605

    Phone: (208) 359-9570

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113201831View full group profile

Reviews

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Frequently asked questions

How is CODY LANE CASTELLAW (DPT) identified in CMS data?
CMS-hosted NPPES data lists CODY LANE CASTELLAW (DPT) with NPI 1154728426.
Is CODY LANE CASTELLAW (DPT) listed as active for patients and plans?
The listing shows CODY LANE CASTELLAW (DPT) as active in the NPI system.
What taxonomy line describes CODY LANE CASTELLAW (DPT)?
For research purposes, treat CODY LANE CASTELLAW (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does CODY LANE CASTELLAW (DPT) serve?
CODY LANE CASTELLAW (DPT)'s listing highlights Rexburg, Idaho; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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