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

Active since May 14, 2025Accepts Medicare Assignment
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: July 26, 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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Cody J Rae Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709391691
PECOS Enrollment IDI20250710003772

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cody Rae accept?

Health plans from Medica list Cody Rae as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cody Rae was last updated on June 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.