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

Cody M. Davis, DPT

Individual provider Physical Therapist · NPI 1104495746

Cody M. Davis, DPT is a Physical Therapist in Private Practice in Phoenix, Arizona. Qualified in 2021, 5 years ago. Practices with Bodybalance PT Twin Falls LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
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

15410 S Mountain Pkwy
Phoenix, AZ 85044-6691
Phone: (480) 940-8299
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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 LPT-31778 (AZ)

Record details

NPI number1104495746
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 18, 2021
Last updated in NPPESJune 18, 2021
Certification dateJune 18, 2021
Mailing address15410 S Mountain Pkwy Ste 112, Phoenix, AZ 85044-6691

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bodybalance Pt Twin Falls Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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