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Cody Robert Payne (P.T.)

Cody Robert Payne (P.T.) is a health care provider specializes in Physical Therapist. He is associated with medical group practice SOONER PHYSICAL THERAPY LIMITED PARTNERSHIP.

profile-icon Basic Information

Practice Location 3613 Nw 56th St, Suite 202, Oklahoma City, OK 73112-4526, US
Practice Location Phone405-948-8686
Practice Location Fax405-978-8603
GenderMale
Specialty InPhysical Therapist
Medical SchoolOther
Graduation Year2007
NPI ?1053501437
PECOS ID0749346484
Enrollment IDI20090305000150
Entity TypeIndividual
Enumeration Date ? Jul 31, 2007
Last Update Date ? Oct 27, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Cody Robert Payne

SpecialtySpecializationLicenseLicense State
Physical Therapist 1197631Texas
Physical Therapist 4021Oklahoma

Medicare-icon Medicare Participation of Cody Robert Payne

Accepts Medicare AssignmentYes
Report Quality MeasuresYes
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Cody Robert Payne

Medical Group PracticeSooner Physical Therapy Limited Partnership

legacy-id-icon Legacy Provider IDs of Cody Robert Payne

Provider IdIssuer StateIssuer TypeIssuer
4021OklahomaOtherSTATE LICENSE
200132560AOklahomaMedicaid