Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MODERN SPORTS MEDICINE LLC
Active OrganizationMODERN SPORTS MEDICINE LLC is a Sports Medicine (PM&R) organization located in GOODYEAR, Arizona. NPI 1699644096 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · GOODYEAR, AZ
Registration Details
- NPI Number
- 1699644096
- Provider Type
- Organization
- NPI Issued
- Nov 3, 2025 (0.82034872847796 yrs)
- Last Updated
- Nov 3, 2025
Practice Information
- Address
-
406 N LITCHFIELD RD STE 204GOODYEAR, AZ, 853381200Browse AZ providers · Browse ZIP 85338
- Phone
- 4803066627
- Fax
- 4803066696
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.