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

Cody Frederick, PTA

Individual provider Physical Therapy Assistant · NPI 1013869916

Cody Frederick, PTA is a Physical Therapy Assistant in Valrico, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1586 Bloomingdale Ave
Valrico, FL 33596-6101
Phone: (813) 978-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA34597 (FL)

Record details

NPI number1013869916
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedFebruary 12, 2026
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617-2305

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