Cody Derby, LAT, ATC
NPI 1518404557 · Athletic Trainer · Lakeland, FL
Cody Derby, LAT, ATC is a Athletic Trainer provider in Lakeland, FL (NPI 1518404557).
Provider details
- NPI number
- 1518404557
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 2017002382 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 4525 Downs DrAttn: Sports MedicineSaint Joseph, MO 64507-2246Phone: (816) 271-4597
Registry dates
- Enumerated
- 2017-01-29
- Last updated
- 2021-01-27
- Certified
- 2021-01-27
Frequently asked questions
- What is Cody Derby's NPI number?
- Cody Derby's National Provider Identifier (NPI) is 1518404557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cody Derby's specialty?
- Cody Derby is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Cody Derby located?
- Cody Derby's practice location on file with NPPES is 2301 Lakeland Hills Blvd, Lakeland, FL 33805-2909.
- What is Cody Derby's phone number?
- The practice phone number listed in the NPPES registry for Cody Derby is (863) 413-4116.
- Is Cody Derby's NPI active?
- Yes — Cody Derby's NPI (1518404557) is active in the NPPES registry as of the last update on 2021-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.