IndividualActive
Cody Moon, DPT/ ATC
NPI 1790340693 · Orthopedic Physical Therapist · Little Rock, AR
Provider details
- NPI number
- 1790340693
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT/ ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 2018016971 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
10815 Colonel Glenn Rd Ste 500
Little Rock, AR 72204-8041
Phone: (501) 406-9201
Fax: (501) 320-7813
Approximate (ZIP-level) locationGet directions
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Additional practice locations (1)
- 4301 W Markham St # 500Little Rock, AR 72205-7101Phone: (501) 686-8000Fax: (501) 526-5148
Registry dates
- Enumerated
- 2019-05-06
- Last updated
- 2025-08-14
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.