Modern Sports Medicine LLC
NPI 1356169643 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Surprise, AZ
Enrolled with Medicare as Dme Supplier - Independently-Practicing Physical Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modern Sports Medicine LLC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician organization in Surprise, AZ (NPI 1356169643).
Provider details
- NPI number
- 1356169643
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joshua Adams, Owner(803) 066-6274
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-26
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Frequently asked questions
- What is Modern Sports Medicine LLC's NPI number?
- Modern Sports Medicine LLC's National Provider Identifier (NPI) is 1356169643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Sports Medicine LLC?
- Modern Sports Medicine LLC is classified in the NPPES registry as Sports Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Modern Sports Medicine LLC located?
- Modern Sports Medicine LLC's practice location on file with NPPES is 12515 W Bell Rd Ste 103, Surprise, AZ 85378-9702.
- What is Modern Sports Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Modern Sports Medicine LLC is (480) 306-6627.
- Does Modern Sports Medicine LLC accept Medicare?
- Modern Sports Medicine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Modern Sports Medicine LLC?
- The authorized official listed on Modern Sports Medicine LLC's NPPES record is Joshua Adams, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Sports Medicine LLC's NPI active?
- Yes — Modern Sports Medicine LLC's NPI (1356169643) is active in the NPPES registry as of the last update on 2024-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.