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SPORTSMEDICINE OUTREACH SPECIALIST
NPI 1053898833
Physician Assistant - Surgical in Gilbert, AZ

Active since July 24, 2018
835 W WARNER RD, STE 101-448, GILBERT, AZ 85233(602) 689-9588(480) 281-5224 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2026, Sep 12, 2024, Jul 24, 2018 (3 updates tracked since 2018).

About Sportsmedicine Outreach Specialist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPORTSMEDICINE OUTREACH SPECIALIST (NPI 1053898833) is a healthcare organization registered as a surgical in Gilbert, Arizona and active in the NPI registry since July 2018. The organization maintains 4 additional practice locations and lists Matthew Dean Overlin, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1053898833
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSPORTSMEDICINE OUTREACH SPECIALIST
Location Address835 W WARNER RD, STE 101-448Gilbert, AZ 85233-7269
Mailing Address835 W Warner Rd, Ste 101-448Gilbert, AZ 85233-7269 · (480) 980-8206 · Fax (480) 281-5224
Phone(602) 689-9588
Fax(480) 281-5224
Organization SubpartNo
Authorized OfficialMatthew Dean OverlinPhysician Assistant · (602) 689-9588
Enumeration DateJuly 24, 2018
Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1053898833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AZ · 3233
835 W WARNER RD, Gilbert, AZ 85233
Open in Google Maps ↗

Secondary Practice Locations 4

Location 19003 E Shea BlvdScottsdale, AZ 85260-6709 · Phone (480) 980-8206 · Fax (480) 281-5224
Location 28405 N. Pima Center ParkwayScottsdale, AZ 85258-4474 · Phone (480) 980-8206 · Fax (480) 281-5224
Location 31446 W Redondo DrGilbert, AZ 85233-0910 · Phone (602) 689-9588 · Fax (480) 281-5224
Location 48901 E. RAINTREE DRIVE, SUITE 100SCOTTSDALE, AZ 85260-7026 · Phone (480) 980-8206 · Fax (480) 281-5224

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LINDSEY RENEE YOUNG MPT
Physical Therapist (Pediatrics)
835 W WARNER RD, SUITE 101-473
GILBERT, AZ 85233
Maricopa County (480) 636-6475
SYNERGY PEDIATRIC THERAPY
Home Health
835 W WARNER RD, SUITE 101-473
GILBERT, AZ 85233
Maricopa County (480) 247-2833
JENNIFER MARIE HERBST PT, DPT, ATC
Physical Therapist
835 W WARNER RD, SUITE 101-473
GILBERT, AZ 85233
Maricopa County (480) 656-7657

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sportsmedicine Outreach Specialist's NPI number?

The NPI number for Sportsmedicine Outreach Specialist is 1053898833. It was assigned to this organization in the NPPES registry on July 24, 2018.

Where is Sportsmedicine Outreach Specialist located?

Sportsmedicine Outreach Specialist is located at 835 W Warner Rd Ste 101-448, Gilbert, AZ 85233. The listed phone number is (602) 689-9588.

What is Sportsmedicine Outreach Specialist's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Sportsmedicine Outreach Specialist was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.