Cody Broom
NPI 1720738099 · Physical Therapy Assistant · Columbia, MS
Cody Broom is a Physical Therapy Assistant provider in Columbia, MS (NPI 1720738099).
Provider details
- NPI number
- 1720738099
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PTA7008 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3261 Highway 49Collins, MS 39428-3876Phone: (601) 921-6043Fax: (601) 921-6044
Registry dates
- Enumerated
- 2022-03-28
- Last updated
- 2022-06-22
- Certified
- 2022-06-22
Frequently asked questions
- What is Cody Broom's NPI number?
- Cody Broom's National Provider Identifier (NPI) is 1720738099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cody Broom's specialty?
- Cody Broom is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Cody Broom located?
- Cody Broom's practice location on file with NPPES is 11 Pecan Dr, Columbia, MS 39429-2600.
- What is Cody Broom's phone number?
- The practice phone number listed in the NPPES registry for Cody Broom is (601) 731-5717.
- Is Cody Broom's NPI active?
- Yes — Cody Broom's NPI (1720738099) is active in the NPPES registry as of the last update on 2022-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.