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

Cody Glick

Individual provider Physical Therapist · NPI 1083237283

Cody Glick is a Physical Therapist in Private Practice in Andover, Kansas. Qualified in 2015, 11 years ago. Licensed in Kansas.

Years since qualifying
11
Licensed in
KS
In the registry since
2020
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Practice location Address checks out

1124 W 21st St
Andover, KS 67002-5500
Phone: (316) 201-6983
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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 11-05087 (KS)

Record details

NPI number1083237283
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 21, 2020
Last updated in NPPESNovember 27, 2023
Certification dateMay 21, 2020
Mailing address10202 E Windemere St, Wichita, KS 67226-3667

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Andover