CODIE MARIE ROBERTS (DPT) – Physical Therapist, NPI 1083975635

CODIE MARIE ROBERTS (DPT) is a healthcare provider. based in West des moines, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 004597 (IA). The NPI Number for CODIE MARIE ROBERTS (DPT) is 1083975635

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
CODIE MARIE ROBERTS (DPT)
NPI
1083975635
Phone
(515) 664-0777
Address
1167 20TH PL
Enumeration Date
30 May 2012
Last Update Date
12 October 2022

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
7206000370
Graduation Year
2010 (16 years ago)
PAC ID
6406003805
Group Practice PAC ID
5294025433
Professional Enrollment ID
I20221025002222
Address ID
CO801246799LO9224XLNXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for CODIE MARIE ROBERTS (DPT)

  • 1167 20TH PL

    WEST DES MOINES, IA 502652202

    Phone: (515) 664-0777

    Type: Mailing

  • 450 LAUREL ST

    DES MOINES, IA 503143045

    Phone: (515) 323-6485

    Type: Location

  • 9800 MT PYRAMID CT STE 400

    ENGLEWOOD, CO 801122669

    Phone: (720) 600-0370

    Type: Location

  • 11169 E I25 FRONTAGE RD STE C

    FIRESTONE, CO 805045211

    Phone: (720) 600-0370

    Type: Mailing

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221025002222IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 50265)

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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: 5294025433View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Clinical PsychologistCO
Physical Therapist In Private PracticeCO
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

What is CODIE MARIE ROBERTS (DPT)'s NPI number?
CODIE MARIE ROBERTS (DPT)'s NPI is 1083975635 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to CODIE MARIE ROBERTS (DPT)?
You should see CODIE MARIE ROBERTS (DPT) as active in CMS-hosted NPPES data.
How would a patient describe CODIE MARIE ROBERTS (DPT)'s focus?
For CODIE MARIE ROBERTS (DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Iowa is CODIE MARIE ROBERTS (DPT) registered?
Use West Des Moines, Iowa as the headline location for CODIE MARIE ROBERTS (DPT) here.
Does CODIE MARIE ROBERTS (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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