Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Drew Park, PA-C, ATC

Individual provider Athletic Trainer · NPI 1811352685

Mr. Drew Park, PA-C, ATC is a Physician Assistant in Lexington, Kentucky. Graduated from University of Kentucky College of Medicine in 2020, 6 years ago. Practices with PT Pros, Inc, a 259-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1207 S Broadway
Lexington, KY 40504-2701
Phone: (859) 258-8575
Fax: (859) 258-8562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2746 (KY)
Athletic Trainer Taxonomy 2255A2300X · Licence AT1319 (KY)
Physician Assistant Taxonomy 363A00000X · Licence AT1319

Record details

NPI number1811352685
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC
Sole proprietorYes
NPI enumeratedDecember 22, 2015
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Pt Pros, Inc — 259 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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