OrganizationActive
Active Athlete Sports Medicine Psc
NPI 1699920272 · Sports Medicine (Family Medicine) Physician · New Albany, IN
Provider details
- NPI number
- 1699920272
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Tricia Roberts, Manager
- License
- 01033436A (IN)
Practice 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
Registry dates
- Enumerated
- 2008-11-24
- Last updated
- 2009-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.