Individual provider · Type 1 NPI

Cody D. Moon, DPT/ ATC

Orthopedic Physical Therapist · Little Rock, AR

NPI number 1790340693 Active

Practice location

10815 Colonel Glenn Rd Ste 500
Little Rock, AR 72204-8041

Fax (501) 320-7813

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101

Other practice locations

  • 4301 W Markham St # 500, Little Rock, AR 72205-7101 · (501) 686-8000

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X2018016971 (MO)
Orthopedic Physical Therapist Primary 2251X0800XNone listed

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

7 other providers at this address

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About NPI 1790340693

Cody D. Moon, DPT/ ATC's National Provider Identifier is 1790340693, issued on May 6, 2019. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Little Rock, AR. The record was last updated on Aug 14, 2025.