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MR. DEREK PORT ATC
NPI 1487004636
Specialist/Technologist - Athletic Trainer in Campbellsville, KY

Active since June 20, 2016
1 UNIVERSITY DR, UPO #823, CAMPBELLSVILLE, KY 42718(270) 789-5544(270) 789-5199 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Derek Port Atc NPPES

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

MR. DEREK PORT ATC (NPI 1487004636) is an individual athletic trainer provider in Campbellsville, Kentucky, licensed in Kentucky (AT512) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1487004636
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. DEREK PORTCredential: ATC
Location Address1 UNIVERSITY DR, UPO #823Campbellsville, KY 42718-2190
Mailing Address1 University Dr, Upo #823Campbellsville, KY 42718-2190 · (270) 789-5544 · Fax (270) 789-5199
Phone(270) 789-5544
Fax(270) 789-5199
Sole ProprietorYes
Enumeration DateJune 20, 2016
✔ NPI 1487004636 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 KY · AT512
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.
1 UNIVERSITY DR, Campbellsville, KY 42718
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Other Providers at the Same Location NPPES 7

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

MS. KERI MICHELLE COOTS MS, ATC
Specialist/Technologist (Athletic Trainer)
1 UNIVERSITY DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-5468
MR. RYAN DAVID LEE LAT, ATC
Specialist/Technologist (Athletic Trainer)
1 UNIVERSITY DR
CAMPBELLSVILLE, KY 42718
Taylor County (860) 608-7942
TRACY LEE LOTT MS, ATC
Specialist/Technologist (Athletic Trainer)
1 UNIVERSITY DR, UPO 823
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-5172
JUSTIN MICHAEL RAMOS MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1 UNIVERSITY DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-5334
ELLY WRIGHT MAT, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1 UNIVERSITY DR
CAMPBELLSVILLE, KY 42718
Taylor County (970) 556-4281
JEANETTA FORD MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1 UNIVERSITY DR, UPO 823
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-5333
LYNDSIE SHORT ATC
Specialist/Technologist (Athletic Trainer)
1 UNIVERSITY DR
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-5333

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 Port's NPI number?

The NPI number for Derek Port is 1487004636. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Derek Port located?

Derek Port practices at 1 University Dr Upo #823, Campbellsville, KY 42718. The listed phone number is (270) 789-5544.

What is Derek Port'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 Port was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.