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GREGORY R PENDERGAST LAT, ATC
NPI 1619570561
Specialist/Technologist - Athletic Trainer in Round Rock, TX

Active since November 20, 2020
901 HIDDEN VALLEY DR APT 6302, ROUND ROCK, TX 78665(817) 932-4285 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 9, 2021, Nov 20, 2020 (2 updates tracked since 2020).

About Gregory R Pendergast Lat, Atc NPPES

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

GREGORY R PENDERGAST LAT, ATC (NPI 1619570561) is an individual athletic trainer provider in Round Rock, Texas, licensed in Texas (AT6282) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1619570561
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameGREGORY R PENDERGASTCredential: LAT, ATC
Location Address901 HIDDEN VALLEY DR APT 6302Round Rock, TX 78665-1475
Mailing Address901 Hidden Valley Dr Apt 6302Round Rock, TX 78665-1475 · (817) 932-4285
Phone(817) 932-4285
Sole ProprietorYes
Enumeration DateNovember 20, 2020
Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
✔ NPI 1619570561 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 · AT6282
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.
901 HIDDEN VALLEY DR APT 6302, Round Rock, TX 78665
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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 Gregory Pendergast's NPI number?

The NPI number for Gregory Pendergast is 1619570561. It was assigned to this individual provider in the NPPES registry on November 20, 2020.

Where is Gregory Pendergast located?

Gregory Pendergast practices at 901 Hidden Valley Dr Apt 6302, Round Rock, TX 78665. The listed phone number is (817) 932-4285.

What is Gregory Pendergast'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 Gregory Pendergast was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.