NPI age
— years
Enumerated 2025-08-08
● Active
Type 1 · Individual
Journey Page, MAT, LAT, ATC
Page is 1 of 103 specialist/technologist providers in Lubbock and 1 of 2956 in Texas.
Primary specialty
Specialist/Technologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2956 active specialist/technologist providers in Texas.
NPI age
0 years
↓ 8 yr below median (8 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-08Enumerated in NPPES
2025
2026
Where they practice
Practice location
5601 19th St
Lubbock, TX 794072099
Mailing address
4110 17th St Apt 504
Lubbock, TX 794166003
Specialties
-
Specialist/Technologist PrimaryAthletic 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,...
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new specialist/technologist providers have been added in Lubbock in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.