CODY D MOON DPT/ ATC
NPI 1790340693
Physical Therapist - Orthopedic in Little Rock, AR

Active since May 06, 2019Accepts Medicare Assignment
10815 COLONEL GLENN RD STE 500, LITTLE ROCK, AR 72204(501) 406-9201(501) 320-7813 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 14, 2025, Aug 5, 2025, May 6, 2019 (3 updates tracked since 2019).

About Cody D Moon Dpt/ Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODY D MOON DPT/ ATC (NPI 1790340693) is an individual orthopedic provider in Little Rock, Arkansas and active in the NPI registry since May 2019. He maintains a secondary practice location in Little Rock and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790340693
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameCODY D MOONCredential: DPT/ ATC
Location Address10815 COLONEL GLENN RD STE 500Little Rock, AR 72204-8041
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Fax(501) 320-7813
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 6, 2019
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1790340693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition

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 practice.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 2018016971 (MO)
10815 COLONEL GLENN RD STE 500, Little Rock, AR 72204

Secondary Practice Location 1

Location 14301 W Markham St # 500Little Rock, AR 72205-7101 · Phone (501) 686-8000 · Fax (501) 526-5148

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Cody D Moon Dpt/ Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325542814
PECOS Enrollment IDI20250918000108

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
10815 COLONEL GLENN RD STE 500
LITTLE ROCK, AR 72204
Physical Therapist
10815 COLONEL GLENN RD STE 500
LITTLE ROCK, AR 72204
Physician Assistant
10815 COLONEL GLENN RD STE 500
LITTLE ROCK, AR 72204
Physical Therapist
10815 COLONEL GLENN RD STE 500
LITTLE ROCK, AR 72204
Nurse Practitioner (Acute Care)
10815 COLONEL GLENN RD STE 500
LITTLE ROCK, AR 72204
Orthopaedic Surgery
10815 COLONEL GLENN RD STE 500
LITTLE ROCK, AR 72204
Orthopaedic Surgery
10815 COLONEL GLENN RD STE 500
LITTLE ROCK, AR 72204
Physical Therapist (Orthopedic)
10815 COLONEL GLENN RD STE 500
LITTLE ROCK, AR 72204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cody Moon's NPI number?

The NPI number for Cody Moon is 1790340693. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Where is Cody Moon located?

Cody Moon practices at 10815 Colonel Glenn Rd Ste 500, Little Rock, AR 72204. The listed phone number is (501) 406-9201.

What is Cody Moon's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Cody Moon enrolled in Medicare?

Yes. Cody Moon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cody Moon accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Cody Moon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cody Moon was last updated on August 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.