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MODERN SPORTS MEDICINE LLC NPI 1568072387


NPI Information

NPI: 1568072387
Provider Name: MODERN SPORTS MEDICINE LLC
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
1840 E WARNER RD STE 121
TEMPE, AZ
ZIP 85284
Phone: (480) 878-4806
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MODERN SPORTS MEDICINE LLC is a sports medicine physical medicine rehabilitation in Tempe, AZ. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. MODERN SPORTS MEDICINE LLC NPI is 1568072387. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1840 E WARNER RD STE 121
TEMPE, AZ
ZIP 85284-445
Phone: (480) 878-4806
Fax: (480) 840-1672

The provider's authorized official is Haleigh Sheree Mershon .
The authorized official title is Director Of Revenue and has the following contact phone number (480) 878-4806.

The enumeration date for this NPI number is 8/6/2020 and was last updated on 8/6/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
22251S0007XPhysical TherapistSportsNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4363AM0700XPhysician AssistantMedicalNo
52081S0010XPhysical Medicine & RehabilitationSports MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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