Derek Port, ATC
NPI 1487004636 · Athletic Trainer · Campbellsville, KY
Derek Port, ATC is a Athletic Trainer provider in Campbellsville, KY (NPI 1487004636).
Provider details
- NPI number
- 1487004636
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT512 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-06-20
- Last updated
- 2016-06-20
Frequently asked questions
- What is Derek Port's NPI number?
- Derek Port's National Provider Identifier (NPI) is 1487004636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Port's specialty?
- Derek Port is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Derek Port located?
- Derek Port's practice location on file with NPPES is 1 University Dr, Campbellsville, KY 42718-2190.
- What is Derek Port's phone number?
- The practice phone number listed in the NPPES registry for Derek Port is (270) 789-5544.
- Is Derek Port's NPI active?
- Yes — Derek Port's NPI (1487004636) is active in the NPPES registry as of the last update on 2016-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.