Sport Clinic Inc
NPI 1497771901 · Physical Therapist · Fremont, CA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sport Clinic Inc is a Physical Therapist organization in Fremont, CA (NPI 1497771901).
Provider details
- NPI number
- 1497771901
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Darryl Lopez, Vice President Sercetary(510) 438-0294
- License
- PT18871 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
- 2006-07-15
- Last updated
- 2011-03-18
Frequently asked questions
- What is Sport Clinic Inc's NPI number?
- Sport Clinic Inc's National Provider Identifier (NPI) is 1497771901, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sport Clinic Inc?
- Sport Clinic Inc is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Sport Clinic Inc located?
- Sport Clinic Inc's practice location on file with NPPES is 39180 Farwell Dr, Fremont, CA 94538-1052.
- What is Sport Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Sport Clinic Inc is (510) 438-0294.
- Does Sport Clinic Inc accept Medicare?
- Sport Clinic Inc 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 Sport Clinic Inc?
- The authorized official listed on Sport Clinic Inc's NPPES record is Darryl Lopez, Vice President Sercetary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sport Clinic Inc's NPI active?
- Yes — Sport Clinic Inc's NPI (1497771901) is active in the NPPES registry as of the last update on 2011-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.