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

Mr. Cody D. Stephens, MPT

Individual provider Specialist · NPI 1174598593

Mr. Cody D. Stephens, MPT is a Physical Therapist in Private Practice in Fruitland, Idaho. Qualified in 2000, 26 years ago. Practices with Tri-City Physical Therapy P C, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
26
Licensed in
ID
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

215 N Whitley Dr Ste 1
Fruitland, ID 83619-2705
Phone: (208) 452-6366
Fax: (208) 452-6399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence RPT1547 (ID)

Record details

NPI number1174598593
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedFebruary 20, 2006
Last updated in NPPESJuly 13, 2026
Mailing address215 N Whitley Dr, Suite 1, Fruitland, ID 83619-2705

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Tri-City Physical Therapy P C — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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