CODY ST.GERMAIN (DPT) – Physical Therapist, NPI 1053894535

CODY ST.GERMAIN (DPT) is a healthcare provider. based in Dixfield, Maine. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT5220 (ME). The NPI Number for CODY ST.GERMAIN (DPT) is 1053894535

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
CODY ST.GERMAIN (DPT)
NPI
1053894535
Phone
(207) 418-7075
Address
23 NEWTON AVE
Enumeration Date
11 September 2018
Last Update Date
11 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2075628048
Graduation Year
2018 (8 years ago)
PAC ID
8123371960
Group Practice PAC ID
5395713028
Professional Enrollment ID
I20181025000682
Address ID
ME042249207DI94XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

628 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ME

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Provider Addresses for CODY ST.GERMAIN (DPT)

  • 23, Newton Avenue, Dixfield, Oxford County, Maine, 04224, United States

    DIXFIELD, ME 042249518

    Phone: (207) 418-7075

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-25

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
I20181025000682IPhysical Therapist In Private PracticeMETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes94158$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes29635$0
97161Evaluation for physical therapy, typically 20 minutes5047$0
View full utilization report →

Insurance plans in this area (ZIP 04224)

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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: 5395713028View full group profile
NameSpecialtyState
-ME
Physical Therapist In Private PracticeME

Reviews

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Frequently asked questions

How is CODY ST.GERMAIN (DPT) identified in CMS data?
CMS-hosted NPPES data lists CODY ST.GERMAIN (DPT) with NPI 1053894535.
Does CMS list CODY ST.GERMAIN (DPT) as active?
Yes — CODY ST.GERMAIN (DPT) is active in the NPI listing used on this page.
What is CODY ST.GERMAIN (DPT)'s primary classification?
Physical Therapist is the headline specialty for CODY ST.GERMAIN (DPT) here. Clinical services aligned with this taxonomy classification.
Does CODY ST.GERMAIN (DPT) list a practice location?
Patients near Dixfield, Maine may find CODY ST.GERMAIN (DPT) in results; validate coverage separately.
Why does CODY ST.GERMAIN (DPT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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