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 1568072387

Modern Sports Medicine LLC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Tempe, Arizona. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
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

1840 E Warner Rd Ste 121
Tempe, AZ 85284-3445
Phone: (480) 878-4806
Fax: (480) 840-1672
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
Physical Therapist Taxonomy 225100000X
Sports Physical Therapist Taxonomy 2251S0007X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1568072387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Adams — Director Of Revenue · (480) 306-6627
NPI enumeratedAugust 6, 2020
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address1840 E Warner Rd Ste 121, Tempe, AZ 85284-3445

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