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

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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