CODY J RAE DPT
NPI 1881485332
Physical Therapist in Roseville, MN

Active since May 14, 2025
1686 LEXINGTON AVE N, ROSEVILLE, MN 55113(877) 609-0123(888) 425-0398 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2025, May 14, 2025 (2 updates tracked since 2025).

About Cody J Rae Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODY J RAE DPT (NPI 1881485332) is an individual physical therapist in Roseville, Minnesota, licensed in Minnesota (13956) and active in the NPI registry since May 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1881485332
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCODY J RAECredential: DPT
Location Address1686 LEXINGTON AVE NRoseville, MN 55113-6514
Mailing Address3500 American Blvd W Ste 300Bloomington, MN 55431-4442 · (952) 512-5600
Fax(888) 425-0398
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 14, 2025
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1881485332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MN · 13956
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1686 LEXINGTON AVE N, Roseville, MN 55113

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody J Rae Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709391691
PECOS Enrollment IDI20250710003772

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1686 LEXINGTON AVE N
ROSEVILLE, MN 55113
Physical Therapist
1686 LEXINGTON AVE N
ROSEVILLE, MN 55113
Physical Therapist
1686 LEXINGTON AVE N
ROSEVILLE, MN 55113
Physical Therapist
1686 LEXINGTON AVE N
ROSEVILLE, MN 55113
Physical Therapist
1686 LEXINGTON AVE N
ROSEVILLE, MN 55113
Physical Therapist
1686 LEXINGTON AVE N
ROSEVILLE, MN 55113
Physical Therapist
1686 LEXINGTON AVE N
ROSEVILLE, MN 55113
Physical Therapist
1686 LEXINGTON AVE N
ROSEVILLE, MN 55113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cody Rae's NPI number?

The NPI number for Cody Rae is 1881485332. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Where is Cody Rae located?

Cody Rae practices at 1686 Lexington Ave N, Roseville, MN 55113. The listed phone number is (877) 609-0123.

What is Cody Rae's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Cody Rae enrolled in Medicare?

Yes. Cody Rae is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cody Rae was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.