ACTIVE ATHLETE SPORTS MEDICINE PSC – NPI #1699920272
Family Medicine

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

ACTIVE ATHLETE SPORTS MEDICINE PSC is a provider located in NEW ALBANY, IN. NPPES has assigned the NPI number 1699920272 to ACTIVE ATHLETE SPORTS MEDICINE PSC on November 24, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QS0010X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Sports Medicine

The NPI profile was previously updated about 17 years ago on Feb 24, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ACTIVE ATHLETE SPORTS MEDICINE PSC below.

NPI Profile for
ACTIVE ATHLETE SPORTS MEDICINE PSC

NPI Number
1699920272
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ACTIVE ATHLETE SPORTS MEDICINE PSC
Primary location
3891 CHARLESTOWN RD
NEW ALBANY, IN 47150-9562
Phone: (812) 949-3482 Fax: (812) 812-9418
Mailing address
3891 CHARLESTOWN ROAD
NEW ALBANY, IN 47150
Phone: (812) 949-3482 Fax: (812) 812-9418
Organization Subpart
No
Authorized Official
TRICIA ROBERTS
MANAGER
Phone: (812) 949-3482
Updated
Identifiers

Identifiers for ACTIVE ATHLETE SPORTS MEDICINE PSC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN100327800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QS0010X
- Family Medicine / Sports Medicine (Primary)
IN 01033436A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.