Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Athlete Sports Medicine PSC

Organization Sports Medicine (Family Medicine) Physician · NPI 1699920272

Active Athlete Sports Medicine PSC is a Sports Medicine (Family Medicine) Physician in New Albany, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3891 Charlestown Rd
New Albany, IN 47150-9562
Phone: (812) 949-3482
Fax: (812) 812-9418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 01033436A (IN)

Record details

NPI number1699920272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tricia Roberts — Manager · (812) 949-3482
NPI enumeratedNovember 24, 2008
Last updated in NPPESFebruary 24, 2009
Mailing address3891 Charlestown Road, New Albany, IN 47150

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