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Active NPI 1235744913 Individual Practitioner Male Practitioner

Cody Deardorff , MAT, LAT, ATC

Specialist/Technologist - Athletic Trainer • Lubbock, TX

Professional Overview & Biography Verified Profile Summary

Cody Deardorff, MAT, LAT, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Lubbock, TX. Practice services are available at 3211 47TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3211 47th St

Lubbock, TX 794134112

Telephone 8062192042
Fax 8067660705

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
107 Specialists

Practicing in Lubbock, TX (3033 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

CMS Verified: 2020-09-10
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License TX AT7951

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dee Rutherford , LAT

Specialist/Technologist - Athletic Trainer

NPI 1265622690

Licensed Athletic Trainer

Kyler Templeton , LAT

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1760021018

Licensed Athletic Trainer

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2020

Registered at 3211 47TH ST, LUBBOCK, TX 794134112 (Tel: 8062192042)

📍
Updated Business Mailing Address September 10, 2020

Registered at 13407 INDIANA AVE APT 2108, LUBBOCK, TX 794231869 (Tel: 8067877828)

👤
Provider Name / Credentials Updated September 10, 2020

Recorded as CODY DEARDORFF, MAT, LAT, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2020

Specialist/Technologist (License #AT7951 in TX)

🟢
Initial NPI Registration & Enumeration September 10, 2020

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: 1235744913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2020
Last Update: September 10, 2020
Sole Proprietor: No

Mailing Address

13407 Indiana Ave Apt 2108

Lubbock, TX 794231869

Phone: 8067877828

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.