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

Modern Sports Medicine LLC

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1356169643

Modern Sports Medicine LLC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Surprise, Arizona. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12515 W Bell Rd Ste 103
Surprise, AZ 85378-9702
Phone: (480) 306-6627
Fax: (480) 306-6696
Show map & directions

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X

Record details

NPI number1356169643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Adams — Owner · (803) 066-6274
NPI enumeratedSeptember 26, 2024
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address12515 W Bell Rd Ste 103, Surprise, AZ 85378-9702

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