Provider Demographics
NPI:1346743895
Name:GILES, CODY STEVEN (DPT)
Entity Type:Individual
Prefix:
First Name:CODY
Middle Name:STEVEN
Last Name:GILES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:463 OHIO PIKE STE 203
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-3745
Mailing Address - Country:US
Mailing Address - Phone:513-247-4340
Mailing Address - Fax:513-247-4360
Practice Address - Street 1:1077 STATE ROUTE 28 STE 105
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-5099
Practice Address - Country:US
Practice Address - Phone:513-653-2888
Practice Address - Fax:513-991-6600
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT017335225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist