AT DIRECT SPORTS MEDICINE, LLC
NPI 1720507262
Preventive Medicine - Sports Medicine in Mesa, AZ

Q: What is At Direct Sports Medicine, LLC's NPI number?

The NPI number for At Direct Sports Medicine, LLC is 1720507262. It was assigned to this organization in the NPPES registry on September 15, 2017.

Q: What is At Direct Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

Active since September 15, 2017

6424 E FAIRFIELD ST, MESA, AZ 85205(520) 235-0067 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 15, 2017 (2 updates tracked since 2017).

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About At Direct Sports Medicine, Llc NPPES

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

AT DIRECT SPORTS MEDICINE, LLC (NPI 1720507262) is a healthcare organization registered as a sports medicine in Mesa, Arizona and active in the NPI registry since September 2017. The organization lists Casey Erickson, Owner/athletic Trainer, as its authorized official.

NPPES Registry Identity

NPI1720507262

Entity TypeOrganization

Primary Taxonomy2083S0010X

Legal Business NameAT DIRECT SPORTS MEDICINE, LLC

Location Address6424 E FAIRFIELD STMesa, AZ 85205-6042

Mailing Address6424 E Fairfield StMesa, AZ 85205-6042 · (520) 235-0067

Phone(520) 235-0067

Organization SubpartNo

Authorized OfficialCasey EricksonOwner/athletic Trainer · (520) 235-0067

Enumeration DateSeptember 15, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1720507262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083S0010X

License✔ Licensed in AZ · 1318

Definition

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

6424 E FAIRFIELD ST, Mesa, AZ 85205

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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

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 At Direct Sports Medicine, LLC's NPI number?

The NPI number for At Direct Sports Medicine, LLC is 1720507262. It was assigned to this organization in the NPPES registry on September 15, 2017.

Where is At Direct Sports Medicine, LLC located?

At Direct Sports Medicine, LLC is located at 6424 E Fairfield St, Mesa, AZ 85205. The listed phone number is (520) 235-0067.

What is At Direct Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for At Direct Sports Medicine, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.