| Doctor Name: | CODY ROBERT PAYNE |
| NPI Number: | 1053501437 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 1197631 |
| Business Practice Address: | 3613 Nw 56th St Suite 202 Oklahoma City, OK - 731124526 |
| Business Phone Number: | 4059488686 |
| Business Fax Number: | 4059788603 |
| Mailing Address: | 3613 Nw 56th St, Suite 202 OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731124526 |
| Phone Number: | 4059488686 |
| Fax Number: | 4059788603 |
| NPI Enumeration Date: | 07/31/2007 |
| NPI Last Update Date: | 10/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1197631 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |