Trident Sports Medicine and Rehabilitation Inc.
NPI 1811766637 · Sports Medicine (Family Medicine) Physician · Ormond Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Trident Sports Medicine and Rehabilitation Inc. is a Sports Medicine (Family Medicine) Physician organization in Ormond Beach, FL (NPI 1811766637).
Provider details
- NPI number
- 1811766637
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Lynch, President(570) 762-3953
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Hearing and Speech Clinic/Center261QH0700X
Ambulatory Health Care Facilities
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-12-20
- Last updated
- 2024-05-08
- Certified
- 2024-05-08
Frequently asked questions
- What is Trident Sports Medicine and Rehabilitation Inc.'s NPI number?
- Trident Sports Medicine and Rehabilitation Inc.'s National Provider Identifier (NPI) is 1811766637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Trident Sports Medicine and Rehabilitation Inc.?
- Trident Sports Medicine and Rehabilitation Inc. is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Trident Sports Medicine and Rehabilitation Inc. located?
- Trident Sports Medicine and Rehabilitation Inc.'s practice location on file with NPPES is 873 Hull Rd Unit 12, Ormond Beach, FL 32174-0738.
- What is Trident Sports Medicine and Rehabilitation Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Trident Sports Medicine and Rehabilitation Inc. is (386) 267-2965.
- Does Trident Sports Medicine and Rehabilitation Inc. accept Medicare?
- Trident Sports Medicine and Rehabilitation 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 Trident Sports Medicine and Rehabilitation Inc.?
- The authorized official listed on Trident Sports Medicine and Rehabilitation Inc.'s NPPES record is Michael Lynch, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Trident Sports Medicine and Rehabilitation Inc.'s NPI active?
- Yes — Trident Sports Medicine and Rehabilitation Inc.'s NPI (1811766637) is active in the NPPES registry as of the last update on 2024-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.