CODY ROBERT PAYNE (P.T.) – Physical Therapist, NPI 1053501437

CODY ROBERT PAYNE (P.T.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 4021 (OK). The NPI Number for CODY ROBERT PAYNE (P.T.) is 1053501437

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
CODY ROBERT PAYNE (P.T.)
NPI
1053501437
Phone
(405) 948-8686
Address
3613 NW 56TH ST
Enumeration Date
31 July 2007
Last Update Date
27 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187103003
Graduation Year
2007 (19 years ago)
PAC ID
0749346484
Group Practice PAC ID
3072562412
Professional Enrollment ID
I20090305000150
Address ID
OK740373714JE404XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

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Provider Addresses for CODY ROBERT PAYNE (P.T.)

  • 3613, Northwest 56th Street, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States

    SUITE 202

    OKLAHOMA CITY, OK 731124526

    Phone: (405) 948-8686

    Fax: (405) 978-8603

    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: 2009-03-05

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
I20090305000150IPhysical Therapist In Private PracticeOKTBD

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
97530Therapy procedure using functional activities51326$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes40325$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes36727$0
97140Therapy procedure using manual technique, each 15 minutes17212$0
97535Training for self-care or home management, each 15 minutes4417$0
View full utilization report →

Insurance plans in this area (ZIP 73112)

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Provider's Procedures

CODY ROBERT PAYNE (P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOK97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes169862
PHYSICAL THERAPYOK97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes14414

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: 3072562412View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
-OK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
-TX
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
-OK

Reviews

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Frequently asked questions

How do I look up CODY ROBERT PAYNE (P.T.) by NPI?
Use NPI 1053501437 when you need to reference CODY ROBERT PAYNE (P.T.) in forms, claims, or directories.
Is CODY ROBERT PAYNE (P.T.) active in the national directory?
CODY ROBERT PAYNE (P.T.)'s public NPI profile is in an active state.
What does CODY ROBERT PAYNE (P.T.) treat or focus on?
Patients typically see CODY ROBERT PAYNE (P.T.) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is CODY ROBERT PAYNE (P.T.)'s primary listing?
We display Oklahoma City, Oklahoma because that is what the record indicates for CODY ROBERT PAYNE (P.T.).
What if Oklahoma City, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.