Individual provider Active NPI

Alan Wayne Cooksey, LAT, ATC

  • Athletic Trainer
  • Fort Bliss, TX
National Provider Identifier
1043341605
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT1175 Issued in TX
Practice address
21255 Light Infantry Rd
Fort Bliss, TX 79918-8074
Phone
(915) 742-2457
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1175 TX
Athletic Trainer 2255A2300X AT1175 TX Primary

Addresses

Primary practice location

21255 Light Infantry Rd
Fort Bliss, TX 79918-8074

Mailing address

6361 Via Aventura Dr
El Paso, TX 79912-1821
Phone (915) 491-2394

Other practice location 1

1700 Curie Dr
Ste. C
El Paso, TX 79902-2905
Phone (915) 534-1275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT1175TXMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1043341605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6361 VIA AVENTURA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121821",
            "telephone_number": "915-491-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21255 LIGHT INFANTRY RD",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799188074",
            "telephone_number": "915-742-2457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Curie Dr",
            "address_2": "STE. C",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799022905",
            "country_code": "US",
            "telephone_number": "915-534-1275",
            "fax_number": "915-534-5280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKSEY",
        "first_name": "ALAN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "1175",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT1175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bliss, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.