CODY CHRISTOPHER TEAGUE (PT, DPT) – Physical Therapist, NPI 1548051105

CODY CHRISTOPHER TEAGUE (PT, DPT) is a healthcare provider. based in Lewisville, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 1406730 (TX). The NPI Number for CODY CHRISTOPHER TEAGUE (PT, DPT) is 1548051105

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
CODY CHRISTOPHER TEAGUE (PT, DPT)
NPI
1548051105
Phone
Not provided
Address
966 N GARDEN RIDGE BLVD STE 530
Enumeration Date
14 May 2025
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9724206605
Graduation Year
2025 (1 year ago)
PAC ID
6103345566
Group Practice PAC ID
0547247108
Professional Enrollment ID
I20250528003924
Address ID
TX750772876LE966XXBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for CODY CHRISTOPHER TEAGUE (PT, DPT)

  • 966 N GARDEN RIDGE BLVD STE 530

    LEWISVILLE, TX 750772876

    Phone:

    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: 2025-05-28

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
I20250528003924IPhysical Therapist In Private PracticeTXTBD

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 75077)

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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: 0547247108View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Qualified Speech Language PathologistTX
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeCT
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX

Reviews

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Frequently asked questions

Does CODY CHRISTOPHER TEAGUE (PT, DPT) have a public NPI I can cite?
Public records show CODY CHRISTOPHER TEAGUE (PT, DPT) under NPI 1548051105.
Is CODY CHRISTOPHER TEAGUE (PT, DPT)'s NPI status active today?
Active status means CODY CHRISTOPHER TEAGUE (PT, DPT)'s NPI record is not deactivated in the public file.
How should patients interpret CODY CHRISTOPHER TEAGUE (PT, DPT)'s specialty?
The extract shows Physical Therapist for CODY CHRISTOPHER TEAGUE (PT, DPT). Clinical services aligned with this taxonomy classification.
What city is tied to CODY CHRISTOPHER TEAGUE (PT, DPT)?
The directory associates CODY CHRISTOPHER TEAGUE (PT, DPT) with Lewisville, Texas. Check all listed addresses for suites or satellite offices.
Can I export CODY CHRISTOPHER TEAGUE (PT, DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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