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

Active since September 26, 2024
12515 W BELL RD STE 103, SURPRISE, AZ 85378(480) 306-6627(480) 306-6696 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Modern Sports Medicine Llc NPPES

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

MODERN SPORTS MEDICINE LLC (NPI 1356169643) is a healthcare organization registered as a sports medicine in Surprise, Arizona and active in the NPI registry since September 2024. The organization lists Joshua Adams, Owner, as its authorized official.

NPPES Registry Identity

NPI1356169643
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameMODERN SPORTS MEDICINE LLC
Location Address12515 W BELL RD STE 103Surprise, AZ 85378-9702
Mailing Address12515 W Bell Rd Ste 103Surprise, AZ 85378-9702 · (480) 306-6627 · Fax (480) 306-6696
Phone(480) 306-6627
Fax(480) 306-6696
Organization SubpartNo
Authorized OfficialJoshua AdamsOwner · (803) 066-6274
Enumeration DateSeptember 26, 2024
NPPES CertifiedSeptember 26, 2024
✔ NPI 1356169643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Definition
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.
12515 W BELL RD STE 103, Surprise, AZ 85378
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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 2

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

NATALIE THOMAS PTA
Physical Therapy Assistant
12515 W BELL RD STE 103
SURPRISE, AZ 85378
Maricopa County (623) 234-4171
DR. MARK ANDREW JAGODZINSKI PT
Physical Therapist (Orthopedic)
12515 W BELL RD STE 103
SURPRISE, AZ 85378
Maricopa County (623) 234-4171

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 Modern Sports Medicine LLC's NPI number?

The NPI number for Modern Sports Medicine LLC is 1356169643. It was assigned to this organization in the NPPES registry on September 26, 2024.

Where is Modern Sports Medicine LLC located?

Modern Sports Medicine LLC is located at 12515 W Bell Rd Ste 103, Surprise, AZ 85378. The listed phone number is (480) 306-6627.

What is Modern Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Modern Sports Medicine LLC was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.