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

Cody Garrett Lake, DPT

Individual provider Physical Therapist · NPI 1841897253

Cody Garrett Lake, DPT is a Physical Therapist in Private Practice in Mustang, Oklahoma. Qualified in 2020, 6 years ago. Practices with Ptms 3.0 LLC, a 114-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

433 E State Highway 152
Mustang, OK 73064-4519
Phone: (405) 353-2159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Garth Brooks Blvd, Yukon, OK 73099-3841 — (405) 350-3336

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1841897253
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 8, 2020
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ptms 3.0 Llc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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