Active NPI
Cody Trahan Tant, PT, DPT
- Physical Therapist
- Orange, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1253907
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1253907 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 | Physical Therapist | Current | Accepting new patients |
| Moreau Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Orange County Physical Therapy LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Baton Rouge, LA
- NPI 1770568669
Physical Therapist, TX
-
- Physical Therapy Clinic/Center
- Orange, TX
- NPI 1346757929
Physical Therapist, TX
-
- Physical Therapist
- Baton Rouge, LA
- NPI 1750566071
-
- Physical Therapist
- Beaumont, TX
- NPI 1831962018
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.