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

Indiana Sports & Medical Science Institute, PC

Organization Clinic/Center · NPI 1609155290

Indiana Sports & Medical Science Institute, PC is a Clinic/Center in Crown Point, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11275 Delaware Pkwy Ste A
Crown Point, IN 46307-7812
Phone: (219) 779-8735
Fax: (877) 715-2312
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 02003099A (IN)

Record details

NPI number1609155290
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Mullaly — Owner · (810) 814-2661
NPI enumeratedAugust 12, 2011
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing addressPo Box 108, Crown Point, IN 46308-0108

Other providers in Crown Point