Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699164459 Individual Practitioner Male Practitioner

Cody Robert Gibson , ATC

Specialist/Technologist - Athletic Trainer • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Cody Gibson, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Modesto, CA. Practice services are available at 4318 SPYRES WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4318 Spyres Way

Modesto, CA 953569259

Telephone 2095760710
Fax 2095767283
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
18 Specialists

Practicing in Modesto, CA (2626 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare
ZZZ03337Z (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dr. Kristina Leddon , DPT

Physical Therapist

NPI 1245710961

Doctor of Physical Therapy

Adam Pike , PT

Physical Therapist

NPI 1255487104

Physical Therapist

Katherine Wilson , ATC

Specialist/Technologist - Athletic Trainer

NPI 1295124055

Certified Athletic Trainer

Bobby Ismail , PT

Physical Therapist

NPI 1295880656

Physical Therapist

Margaret Ismail , PTA

Physical Therapy Assistant

NPI 1306294970

Physical Therapist Assistant

Dr. John Heller , PT, DPT

Physical Therapist

NPI 1366985632

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2015

Registered at 4318 SPYRES WAY, MODESTO, CA 953569259 (Tel: 2095760710)

📍
Updated Business Mailing Address January 16, 2015

Registered at 1800 RONALD CT, MODESTO, CA 953502844 (Tel: 2098150039)

👤
Provider Name / Credentials Updated January 16, 2015

Recorded as CODY GIBSON, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2015

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration January 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699164459
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2015
Last Update: January 16, 2015
Sole Proprietor: No

Mailing Address

1800 Ronald Ct

Modesto, CA 953502844

Phone: 2098150039

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.