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PTR SPORTS, A MEDICAL CORPORATION
NPI 1083750764
Family Medicine - Sports Medicine in Santa Clara, CA

Active since January 29, 2007
1825 CIVIC CENTER DR, SUITE 25, SANTA CLARA, CA 95050(408) 404-4700(408) 404-4701 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ptr Sports, A Medical Corporation NPPES

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

PTR SPORTS, A MEDICAL CORPORATION (NPI 1083750764) is a healthcare organization registered as a sports medicine in Santa Clara, California and active in the NPI registry since January 2007. The organization lists Jeffrey G Blue, President, as its authorized official.

NPPES Registry Identity

NPI1083750764
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NamePTR SPORTS, A MEDICAL CORPORATION
Location Address1825 CIVIC CENTER DR, SUITE 25Santa Clara, CA 95050-7301
Mailing Address1825 Civic Center Dr, Suite 25Santa Clara, CA 95050-7301 · (408) 404-4700 · Fax (408) 404-4701
Phone(408) 404-4700
Fax(408) 404-4701
Organization SubpartNo
Authorized OfficialJeffrey G BluePresident · (408) 404-4700
Enumeration DateJanuary 29, 2007
Last NPPES UpdateOctober 28, 2008
✔ NPI 1083750764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
1825 CIVIC CENTER DR, Santa Clara, CA 95050
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Other Identifiers 1

Medicare ID-Type UnspecifiedZZZ28590ZCA

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.

WILLIAM H TROLAN MD INC.
Clinic/Center (Urgent Care)
1825 CIVIC CENTER DR, SUITE # 7
SANTA CLARA, CA 95050
Santa Clara County (408) 985-2401
KHALIQ A. SHAH M.D.
Internal Medicine
1825 CIVIC CENTER DR, SUITE 13
SANTA CLARA, CA 95050
Santa Clara County (408) 236-3540
MR. JAN KENNETH KLOFTER P.T.
Physical Therapist
1825 CIVIC CENTER DR
SANTA CLARA, CA 95050
Santa Clara County (408) 404-4700

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 Ptr Sports, A Medical Corporation's NPI number?

The NPI number for Ptr Sports, A Medical Corporation is 1083750764. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Ptr Sports, A Medical Corporation located?

Ptr Sports, A Medical Corporation is located at 1825 Civic Center Dr Suite 25, Santa Clara, CA 95050. The listed phone number is (408) 404-4700.

What is Ptr Sports, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

When was this NPI record last updated?

The NPPES record for Ptr Sports, A Medical Corporation was last updated on October 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.