MODERN SPORTS MEDICINE LLC – NPI #1942810833
Physical Medicine & Rehabilitation

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.

MODERN SPORTS MEDICINE LLC is a provider located in MESA, AZ. NPPES has assigned the NPI number 1942810833 to MODERN SPORTS MEDICINE LLC on August 05, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081S0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Sports Medicine

The NPI profile was last updated on Sep 26, 2024. 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 MODERN SPORTS MEDICINE LLC below.

NPI Profile for
MODERN SPORTS MEDICINE LLC

NPI Number
1942810833
Enumeration Date

(about 6 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
MODERN SPORTS MEDICINE LLC
Primary location
6242 E ARBOR AVE STE 101
MESA, AZ 85206-1309
Phone: (480) 878-4806 Fax: (480) 840-1672
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSHUA ADAMS
OWNER
Phone: (480) 306-6627
Updated
Certification Date
Sep 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2081S0010X
- Physical Medicine & Rehabilitation / Sports Medicine (Primary)
174400000X
- Specialist

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
BUSINESS EMAIL ADDRESS
Content Type
CSV
Affiliation
N
Endpoint Location
6242 E ARBOR AVE UNIT 1,
MESA, AZ 77025-1669