UTP SPORTS MEDICINE
NPI 1215240676
Family Medicine - Sports Medicine in Toledo, OH

NPI Status: Active since July 14, 2010

Contact Information

3000 ARLINGTON AVE
TOLEDO, OH
ZIP 43614
Phone: (419) 383-3761
Fax: (419) 383-6170

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  • Organization
  • Family Medicine
  • Sports Medicine
  • Accepts Insurance
  • CLIA Number: 36D0948468
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-09-2026

About UTP SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Utp Sports Medicine, a primary care provider established in Toledo, Ohio operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1215240676 assigned on July 2010. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Utp Sports Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Utp Sports Medicine. The authorized official of this NPI record is Dr. Kris Brickman Md (Utp President)

NPI
1215240676
Provider Legal Name
UNIVERSITY OF TOLEDO PHYSICIANS, LLC
Other Organization Name
UTP SPORTS MEDICINE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3000 ARLINGTON AVE TOLEDO, OH 43614
Location Phone
(419) 383-3761
Location Fax
(419) 383-6170
Mailing Address
3355 GLENDALE AVE THIRD FLOOR TOLEDO, OH 43614
Mailing Phone
(419) 383-7100
Mailing Fax
(419) 383-6170
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-14-2010
Last Update Date
06-14-2019
Code Navigator

A primary care provider (PCP) like Utp Sports Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - EPO
  • BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KRIS BRICKMAN MD

Authorized Official Title
UTP PRESIDENT
Authorized Official Phone
(419) 383-7100

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0329226MEDICAID (05)OH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0948468
Facility Type
Physician Office
Certificate Effective Date
July 10, 2024
Certificate Expiration Date
July 09, 2026
Laboratory Director
DEEPAK K. MALHOTRA MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Utp Sports Medicine in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for UTP SPORTS MEDICINE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215240676, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 4 + 4 + 0 + 6 + 1 + 4 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1215240676.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
3000 ARLINGTON AVE
TOLEDO, OH 43614
Nurse Anesthetist, Certified Registered
3000 ARLINGTON AVE, ANESTHESIA
TOLEDO, OH 43614
Nurse Anesthetist, Certified Registered
3000 ARLINGTON AVE, ANTESTHSIA
TOLEDO, OH 43614
Anesthesiologist Assistant
3000 ARLINGTON AVE, ANESTHESIA
TOLEDO, OH 43614
Dentist (Prosthodontics)
3000 ARLINGTON AVE, MAIL STOP 1092
TOLEDO, OH 43614
Surgery
3000 ARLINGTON AVE
TOLEDO, OH 43614
Pharmacist (Pharmacotherapy)
3000 ARLINGTON AVE, MAIL STOP 1060
TOLEDO, OH 43614
Social Worker (Clinical)
3000 ARLINGTON AVE, MAIL STOP 1161
TOLEDO, OH 43614
Pharmacist
3000 ARLINGTON AVE, MS 1060
TOLEDO, OH 43614
Pharmacist (Pharmacotherapy)
3000 ARLINGTON AVE, DEPARTMENT OF PHARMACY
TOLEDO, OH 43614
Pharmacist
3000 ARLINGTON AVE, UT MEDICAL CENTER
TOLEDO, OH 43614
Pharmacist (Pharmacotherapy)
3000 ARLINGTON AVE, UNIVERSITY OF TOLEDO MEDICAL CENTER
TOLEDO, OH 43614
Physical Therapy Assistant
3000 ARLINGTON AVE
TOLEDO, OH 43614
Speech-Language Pathologist
3000 ARLINGTON AVE
TOLEDO, OH 43614
Physical Therapist
3000 ARLINGTON AVE
TOLEDO, OH 43614
Clinical Nurse Specialist
3000 ARLINGTON AVE
TOLEDO, OH 43614
Anesthesiology
3000 ARLINGTON AVE
TOLEDO, OH 43614
Nurse Anesthetist, Certified Registered
3000 ARLINGTON AVE, FLOOR 2, ROOM 2195
TOLEDO, OH 43614
Pathology (Anatomic Pathology & Clinical Pathology)
3000 ARLINGTON AVE
TOLEDO, OH 43614
Dietitian, Registered
3000 ARLINGTON AVE, MAIL STOP 1062
TOLEDO, OH 43614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215240676, enumerated as an "organization" on July 14, 2010.

The provider is located at 3000 ARLINGTON AVE TOLEDO, OH 43614 and the phone number is (419) 383-3761.

Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.