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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Derek Port, ATC

Athletic Trainer in Campbellsville, KY · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487004636

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Registry record

Entity type Individual (Type 1)
Name Mr. Derek Port
Credential ATC
Sex Male
Practice address Campbellsville, KY, 42718
Fax (270) 789-5199
Enumeration date Jun 20, 2016
Last updated in NPPES Jun 20, 2016

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License AT512 (KY) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Derek Port?
The National Provider Identifier (NPI) for Derek Port is 1487004636, a Type 1 (individual) record in the CMS NPPES registry.
Where does Derek Port practice?
The practice location on file with NPPES is in Campbellsville, KY. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-06-20.