CODY JAMES ANDERSON (P.T.) – Physical Therapist, NPI 1265808042

CODY JAMES ANDERSON (P.T.) is a healthcare provider. based in Kennewick, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT60574336 (WA). The NPI Number for CODY JAMES ANDERSON (P.T.) is 1265808042

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
CODY JAMES ANDERSON (P.T.)
NPI
1265808042
Phone
(509) 736-2225
Address
7401 W GRANDRIDGE BLVD
Enumeration Date
17 August 2015
Last Update Date
17 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097362225
Graduation Year
2015 (11 years ago)
PAC ID
8426481045
Group Practice PAC ID
4981747219
Professional Enrollment ID
I20211214002574
Address ID
WA993367839KE512XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for CODY JAMES ANDERSON (P.T.)

  • 7401 W GRANDRIDGE BLVD

    SUITE 102

    KENNEWICK, WA 993367831

    Phone: (509) 736-2225

    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: 2021-12-14

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
I20211214002574IPhysical Therapist In Private PracticeWATBD

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 99336)

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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: 4981747219View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for CODY JAMES ANDERSON (P.T.)?
CODY JAMES ANDERSON (P.T.) — NPI 1265808042 — is the standard way to identify this listing.
Does CMS list CODY JAMES ANDERSON (P.T.) as active?
Yes — CODY JAMES ANDERSON (P.T.) is active in the NPI listing used on this page.
What is CODY JAMES ANDERSON (P.T.) best known for clinically?
Directory data describes CODY JAMES ANDERSON (P.T.) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for CODY JAMES ANDERSON (P.T.)?
CODY JAMES ANDERSON (P.T.)'s geographic hint is Kennewick, Washington in our summary view.
Why does CODY JAMES ANDERSON (P.T.) 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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