MODERN SPORTS MEDICINE LLC
NPI 1356169643
Physical Medicine & Rehabilitation - Sports Medicine in Surprise, AZ

NPI Status: Active since September 26, 2024

Contact Information

12515 W BELL RD STE 103
SURPRISE, AZ
ZIP 85378
Phone: (480) 306-6627
Fax: (480) 306-6696

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  • Organization
  • Physical Medicine & Rehabilitation
  • Sports Medicine

About MODERN SPORTS MEDICINE LLC

This page provides the complete NPI Profile along with additional information for Modern Sports Medicine Llc, a provider established in Surprise, Arizona operating as a Physical Medicine & Rehabilitation, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1356169643 assigned on September 2024. The practitioner's primary taxonomy code is 2081S0010X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Modern Sports Medicine Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Joshua Adams (Owner)

NPI
1356169643
Provider Name
MODERN SPORTS MEDICINE LLC
Entity Type
Organization
Location Address
12515 W BELL RD STE 103 SURPRISE, AZ 85378
Location Phone
(480) 306-6627
Location Fax
(480) 306-6696
Mailing Address
12515 W BELL RD STE 103 SURPRISE, AZ 85378
Mailing Phone
(480) 306-6627
Mailing Fax
(480) 306-6696
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2024
Last Update Date
09-26-2024
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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

Physical Medicine & Rehabilitation Sports Medicine

Taxonomy Code
2081S0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

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

JOSHUA ADAMS

Authorized Official Title
OWNER
Authorized Official Phone
(803) 066-6274

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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 1356169643, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 5 → 10 → 1 1 → 2 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 0 + 6 + 2 + 6 + 1 + 8 + 6 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1356169643.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physical Therapist (Orthopedic)
12515 W BELL RD STE 103
SURPRISE, AZ 85378
Physical Therapy Assistant
12515 W BELL RD STE 103
SURPRISE, AZ 85378

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356169643, enumerated as an "organization" on September 26, 2024.

The provider is located at 12515 W BELL RD STE 103 SURPRISE, AZ 85378 and the phone number is (480) 306-6627.

Physical Medicine & Rehabilitation with taxonomy code 2081S0010X and a focus in Sports Medicine.