Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cody Enrietti, PT, DPT

Individual provider Physical Therapist · NPI 1063275741

Cody Enrietti, PT, DPT is a Physical Therapist in Private Practice in Wellsburg, West Virginia. Qualified in 2023, 3 years ago. Practices with Mountain River Physical Therapy Specialists LLC, a 22-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
3
Licensed in
WV
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

841 Commerce St
Wellsburg, WV 26070-1528
Phone: (304) 737-0437
Fax: (304) 737-0581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT004708 (WV)

Record details

NPI number1063275741
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mountain River Physical Therapy Specialists Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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