Individual provider Active NPI

Cody Trahan Tant, PT, DPT

  • Physical Therapist
  • Orange, TX
National Provider Identifier
1154710036
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1253907 Issued in TX
Practice address
3920 W Park Ave
Orange, TX 77630-1756
Phone
(409) 920-4105
Fax
(409) 920-4107
NPI assigned
Jan 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1253907 TX Primary

Addresses

Primary practice location

3920 W Park Ave
Orange, TX 77630-1756

Mailing address

PO Box 112
Orange, TX 77631-0112
Phone (409) 920-4105

Other names 1

  • Cody Trahan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150223001051 TX Practitioner - Physical Therapist in Private Practice 1951627645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moreau Physical Therapy Inc. 81 clinicians

Practice addresses (Care Compare)

3920 W Park Ave
Orange, TX 77630-1756
Phone (409) 920-4105

689 S Main St
Lumberton, TX 77657-9998
Phone (409) 227-8258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1253907TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Moreau Physical Therapy Inc. Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Orange County Physical Therapy LLC Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients

Locations

4324 S Sherwood Forest Blvd
Ste 170
Baton Rouge, LA 70816

6438 Phelan Blvd
Beaumont, TX 77706
Phone (409) 203-4380

689 S Main St
Lumberton, TX 77657
Phone (409) 203-4380

3920 W Park Ave
Orange, TX 77630
Phone (409) 920-4105

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1154710036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776310112",
            "telephone_number": "409-920-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W PARK AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301756",
            "telephone_number": "409-920-4105",
            "fax_number": "409-920-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAHAN TANT",
        "first_name": "CODY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1253907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CODY",
            "last_name": "TRAHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.