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

Mr. Cody Vincent Gilliss, PT, DPT

Individual provider Physical Therapist · NPI 1386160455

Mr. Cody Vincent Gilliss, PT, DPT is a Physical Therapist in Private Practice in Honolulu, Hawaii. Qualified in 2017, 9 years ago. Practices with Sand Coast Rehab Physical Therapy Inc, a 132-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
9
Licensed in
HI
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3030 Pualei Cir Apt 210
Honolulu, HI 96815-4942
Phone: (808) 892-8999
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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 4614 (HI)

Record details

NPI number1386160455
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedAugust 20, 2017
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sand Coast Rehab Physical Therapy Inc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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