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CODY BRYAN OLIVER LAT, ATC
NPI 1457991697
Physical Medicine & Rehabilitation - Sports Medicine in Tyler, TX

Active since January 15, 2020
3900 UNIVERSITY BLVD, TYLER, TX 75799(903) 565-5742 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cody Bryan Oliver Lat, Atc NPPES

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

CODY BRYAN OLIVER LAT, ATC (NPI 1457991697) is an individual sports medicine provider in Tyler, Texas, licensed in Texas (AT7635) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1457991697
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameCODY BRYAN OLIVERCredential: LAT, ATC
Location Address3900 UNIVERSITY BLVDTyler, TX 75799-6600
Mailing Address3900 University BlvdTyler, TX 75799-6600 · (903) 565-5742
Phone(903) 565-5742
Sole ProprietorYes
Enumeration DateJanuary 15, 2020
✔ NPI 1457991697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in TX · AT7635
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
3900 UNIVERSITY BLVD, Tyler, TX 75799
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

KYLIE MCNABB
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 565-5777
ANETTA NINAN
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 565-5777
STEPHEN CAGE M.ED, ATC, LAT
Specialist/Technologist (Athletic Trainer)
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (830) 305-0317
RACHEL KOSHY
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 565-5777
KACY COMBEST MS
Counselor (Mental Health)
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 566-7180
LANNA WAITHE
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 565-5777
MRS. BELINDA CORONADO
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 565-5777
LAETITIA SORELA NJOME TCHAPTCHET
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (432) 210-0820

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 Oliver's NPI number?

The NPI number for Cody Oliver is 1457991697. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Cody Oliver located?

Cody Oliver practices at 3900 University Blvd, Tyler, TX 75799. The listed phone number is (903) 565-5742.

What is Cody Oliver's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Cody Oliver was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.