Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Peter Brock, MSED, ATC, LAT

Individual provider Athletic Trainer · NPI 1255563490

Mr. Peter Brock, MSED, ATC, LAT is an Athletic Trainer in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1201 Wesleyan St
Fort Worth, TX 76105-1215
Phone: (817) 531-7590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT4498 (TX)

Record details

NPI number1255563490
Entity typeIndividual (Type 1)
GenderMale
Credentials MSED , ATC , LAT
Sole proprietorNo
NPI enumeratedAugust 21, 2009
Last updated in NPPESAugust 22, 2016

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