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

Cody Kenly, DPT

Individual provider Physical Therapist · NPI 1407418387

Cody Kenly, DPT is a Physical Therapist in Private Practice in Black Mountain, North Carolina. Qualified in 2015, 11 years ago. Practices with Black Mountain Physical Therapy LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and North Carolina.

Years since qualifying
11
Licensed in
MD, NC
In the registry since
2019
Specialties on file
2
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

997 Old US Hwy 70 W Ste D
Black Mountain, NC 28711-4505
Phone: (828) 669-6896
Fax: (828) 669-6897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1705 Desales St Nw, Washington, DC 20036-4405 — (202) 630-0378

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP011561T (NC)
Physical Therapist Taxonomy 225100000X · Licence 27978 (MD)

Record details

NPI number1407418387
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 1, 2019
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address2000 Westinghouse Dr Ste 200, Cranberry Twp, PA 16066-5238

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)
Group practice Black Mountain Physical Therapy Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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