1. Home
  2. Directory
  3. Texas
  4. Lubbock
  5. Specialist Technologist
  6. NPI Profile

CODY DEARDORFF MAT, LAT, ATC
NPI 1235744913
Specialist/Technologist - Athletic Trainer in Lubbock, TX

Active since September 10, 2020
3211 47TH ST, LUBBOCK, TX 79413(806) 219-2042(806) 766-0705 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cody Deardorff Mat, Lat, Atc NPPES

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

CODY DEARDORFF MAT, LAT, ATC (NPI 1235744913) is an individual athletic trainer provider in Lubbock, Texas, licensed in Texas (AT7951) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1235744913
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameCODY DEARDORFFCredential: MAT, LAT, ATC
Location Address3211 47TH STLubbock, TX 79413-4112
Mailing Address13407 Indiana Ave Apt 2108Lubbock, TX 79423-1869 · (806) 787-7828
Phone(806) 219-2042
Fax(806) 766-0705
Sole ProprietorNo
Enumeration DateSeptember 10, 2020
NPPES CertifiedSeptember 10, 2020
✔ NPI 1235744913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in TX · AT7951
Definition
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.
3211 47TH ST, Lubbock, TX 79413
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

DEE WAYNE RUTHERFORD LAT
Specialist/Technologist (Athletic Trainer)
3211 47TH ST
LUBBOCK, TX 79413
Lubbock County (806) 766-0705
KYLER LUKE TEMPLETON LAT
Physical Medicine & Rehabilitation (Sports Medicine)
3211 47TH ST
LUBBOCK, TX 79413
Lubbock County (806) 219-1954

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 Deardorff's NPI number?

The NPI number for Cody Deardorff is 1235744913. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Cody Deardorff located?

Cody Deardorff practices at 3211 47th St, Lubbock, TX 79413. The listed phone number is (806) 219-2042.

What is Cody Deardorff's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Cody Deardorff was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.