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

At Direct Sports Medicine, LLC

Organization Sports Medicine (Preventive Medicine) Physician · NPI 1720507262

At Direct Sports Medicine, LLC is a Sports Medicine (Preventive Medicine) Physician in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6424 E Fairfield St
Mesa, AZ 85205-6042
Phone: (520) 235-0067
Show map & directions

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

Specialties & licences

Sports Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083S0010X · Licence 1318 (AZ)

Record details

NPI number1720507262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Casey Erickson — Owner/Athletic Trainer · (520) 235-0067
NPI enumeratedSeptember 15, 2017
Last updated in NPPESJuly 21, 2022
Mailing address6424 E Fairfield St, Mesa, AZ 85205-6042