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

Cody J Rae, DPT

Individual provider Physical Therapist · NPI 1881485332

Cody J Rae, DPT is a Physical Therapist in Private Practice in Roseville, Minnesota. Qualified in 2025, 1 year ago. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1686 Lexington Ave N
Roseville, MN 55113-6514
Phone: (877) 609-0123
Fax: (888) 425-0398
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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 13956 (MN)

Record details

NPI number1881485332
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 14, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address3500 American Blvd W Ste 300, Bloomington, MN 55431-4442

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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