THE SPORTS MEDICINE CLINIC
NPI 1962876581
Clinic/Center - Multi-Specialty in Corrales, NM

Active since November 19, 2015
2469 CORRALES RD, SUITE A2, CORRALES, NM 87048(505) 377-5733 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Multi-Specialty

About THE SPORTS MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for The Sports Medicine Clinic, a provider established in Corrales, New Mexico operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1962876581 assigned on November 2015. The practitioner's primary taxonomy code is 261QM1300X with license number FA0102165 (NM). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Joshua Peiper (Operations Director)

NPI
1962876581 Verify this NPI
Provider Name
THE SPORTS MEDICINE CLINIC
Entity Type
Organization
Location Address
2469 CORRALES RD SUITE A2 CORRALES, NM 87048
Location Phone
(505) 377-5733
Mailing Address
2469 CORRALES RD SUITE A2 CORRALES, NM 87048
Mailing Phone
(505) 377-5733
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-19-2015
Last Update Date
11-19-2015
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
FA0102165
License State
NM

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 PEIPER

Authorized Official Title
OPERATIONS DIRECTOR
Authorized Official Phone
(505) 377-5733

Reviews for THE SPORTS MEDICINE CLINIC

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Counselor (Mental Health)
2469 CORRALES RD, SUITE E
CORRALES, NM 87048
Social Worker
2469 CORRALES RD, SUITE E
CORRALES, NM 87048
Massage Therapist
2469 CORRALES RD
CORRALES, NM 87048
Pathology (Cytopathology)
2469 CORRALES RD, BLDG A, STE B
CORRALES, NM 87048
Home Health
2469 CORRALES RD, SUITE A BUILDING A
CORRALES, NM 87048

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962876581, enumerated as an "organization" on November 19, 2015.

The provider is located at 2469 CORRALES RD SUITE A2 CORRALES, NM 87048 and the phone number is (505) 377-5733.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.