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

Cody Joe Osbourn, PT

Individual provider Physical Therapist · NPI 1679099980

Cody Joe Osbourn, PT is a Physical Therapist in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2017.

Licensed in
AR
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3561 Johnson Mill Blvd Ste 101
Fayetteville, AR 72704-5026
Phone: (479) 404-4500
Fax: (479) 404-4510
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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 PT4175 (AR)

Record details

NPI number1679099980
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 17, 2017
Last updated in NPPESJuly 21, 2022

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