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DEREK LOGAN MATTINGLY
NPI 1245883677
Specialist/Technologist - Athletic Trainer in Riverview, FL

Active since July 24, 2019
6221 WATERMARK DR APT 106, RIVERVIEW, FL 33578(859) 457-9190 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derek Logan Mattingly NPPES

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

DEREK LOGAN MATTINGLY (NPI 1245883677) is an individual athletic trainer provider in Riverview, Florida and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1245883677
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameDEREK LOGAN MATTINGLY
Location Address6221 WATERMARK DR APT 106Riverview, FL 33578-3975
Mailing Address6221 Watermark Dr Apt 106Riverview, FL 33578-3975 · (859) 457-9190
Phone(859) 457-9190
Sole ProprietorYes
Enumeration DateJuly 24, 2019
✔ NPI 1245883677 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
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.
6221 WATERMARK DR APT 106, Riverview, FL 33578
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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 Derek Mattingly's NPI number?

The NPI number for Derek Mattingly is 1245883677. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Derek Mattingly located?

Derek Mattingly practices at 6221 Watermark Dr Apt 106, Riverview, FL 33578. The listed phone number is (859) 457-9190.

What is Derek Mattingly'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 Derek Mattingly was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.