Kody Smith, in Azle, TX - Medicare Physical Therapist In Private Practice Provider

Kody Smith, is a medicare enrolled "Physical Therapist" provider in Azle, Texas. He graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Sportherapy Llc and his current practice location is 245 W Main St, Azle, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 270-2975.

Kody Smith is licensed to practice in Texas (license number 1406768) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104618610.

Contact Information

	Kody Smith,
	245 W Main St, Azle, TX 76020-2927
	(817) 270-2975
	(817) 270-3596

Map and Direction

Healthcare Provider's Profile

Full Name	Kody Smith
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	1 Years
Location	245 W Main St, Azle, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kody Smith graduated from medical school in 2025

NPI Data:

NPI Number: 1104618610
Provider Enumeration Date: 05/20/2025
Last Update Date: 05/20/2025

Medicare PECOS Information:

PECOS PAC ID: 3476062274
Enrollment ID: I20250603002559

Medical Identifiers

Medical identifiers for Kody Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104618610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1406768 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sportherapy Llc	0749536308	43

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kody Smith allows following entities to bill medicare on his behalf.

Provider Name	Sportherapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386132132 PECOS PAC ID: 0749536308 Enrollment ID: O20190724000246

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kody Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kody Smith, 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (726) 202-3039	Kody Smith, 245 W Main St, Azle, TX 76020-2927 Ph: (817) 270-2975

Reviews and Comments

Physical Therapist in Azle, TX

Caitlynn Perry, DPY Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 245 W Main St, Azle, TX 76020 Phone: 817-270-2975 Fax: 817-270-3596
Kelsey Robers, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 613 Profit St, Azle, TX 76020 Phone: 682-453-7102
Jeremy Corbin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 137 Industrial Ave, Azle, TX 76020 Phone: 817-270-2975 Fax: 817-370-9891
Dr. Alex Gustaf, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 613 Profit St, Azle, TX 76020 Phone: 682-453-7102 Fax: 817-665-3815
Kurt Dinkle, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 721 Dunaway Ln, Azle, TX 76020 Phone: 409-782-6060
Andrew Sewell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 137 Industrial Ave, Azle, TX 76020 Phone: 817-270-2975

Kody Smith, - Medicare Physical Therapist in Azle, TX