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

Cody L Moldenhauer, DPT

Individual provider Physical Therapist · NPI 1730559782

Cody L Moldenhauer, DPT is a Physical Therapist in Private Practice in Kenosha, Wisconsin. Qualified in 2015, 11 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado, Tennessee and Wisconsin.

Years since qualifying
11
Licensed in
CO, TN, WI
In the registry since
2015
Specialties on file
3
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

2707 15th Pl
Kenosha, WI 53140-4947
Phone: (262) 551-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8537 Asheville Hwy Ste 201, Knoxville, TN 37924-4123 — (865) 225-7300
  • 2615 N Downer Ave, Milwaukee, WI 53211-4245 — (414) 962-4400

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13200-24 (WI)
Physical Therapist Taxonomy 225100000X · Licence PTL.0013650 (CO)
Physical Therapist Taxonomy 225100000X · Licence 11813 (TN)

Record details

NPI number1730559782
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 2, 2015
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing addressPo Box 735044, Chicago, IL 60673-5044

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 Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kenosha