SPORTS MEDICINE CENTER OF METRO DETROIT PC
NPI 1912023458
Specialist in Troy, MI

Q: What is Sports Medicine Center Of Metro Detroit PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 22, 2007

5600 CROOKS RD, SUITE 103, TROY, MI 48098(248) 813-0002(248) 813-0007 Get Directions Write a Review

NPPES record last updated: August 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Sports Medicine Center Of Metro Detroit Pc NPPES

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

SPORTS MEDICINE CENTER OF METRO DETROIT PC (NPI 1912023458) is a healthcare organization registered as a specialist in Troy, Michigan and active in the NPI registry since March 2007. The organization lists Jackie Tremonti, Biller, as its authorized official.

NPPES Registry Identity

NPI1912023458

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSPORTS MEDICINE CENTER OF METRO DETROIT PC

Location Address5600 CROOKS RD, SUITE 103Troy, MI 48098-2811

Mailing Address5600 Crooks Rd, Suite 103Troy, MI 48098-2811 · (248) 813-0002 · Fax (248) 813-0007

Phone(248) 813-0002

Fax(248) 813-0007

Organization SubpartNo

Authorized OfficialJackie TremontiBiller · (248) 813-0002

Enumeration DateMarch 22, 2007

Last NPPES UpdateAugust 18, 2014

✔ NPI 1912023458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MI · JC039731

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5600 CROOKS RD, Troy, MI 48098

Open in Google Maps ↗

Other Identifiers 4

Medicare PIN0N14320MI

Medicare NSC0819040002MI

Medicare UPINB45122MI

Medicaid1741033MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

DR. JEROME V CIULLO MD

Orthopaedic Surgery

5600 CROOKS RD, STE 103
TROY, MI 48098

Oakland County (248) 813-0002

REHABILITATION SPECIALISTS TOP OF TROY PC

Physical Therapist

5600 CROOKS RD, SUITE 104
TROY, MI 48098

Oakland County (248) 989-9422

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 Sports Medicine Center Of Metro Detroit PC's NPI number?

The NPI number for Sports Medicine Center Of Metro Detroit PC is 1912023458. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Sports Medicine Center Of Metro Detroit PC located?

Sports Medicine Center Of Metro Detroit PC is located at 5600 Crooks Rd Suite 103, Troy, MI 48098. The listed phone number is (248) 813-0002.

What is Sports Medicine Center Of Metro Detroit PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sports Medicine Center Of Metro Detroit PC was last updated on August 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.