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

Modern Sports Medicine LLC

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1871298000

Modern Sports Medicine LLC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Peoria, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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

8240 W Cactus Rd Ste 100
Peoria, AZ 85381-5231
Phone: (480) 306-6627
Fax: (480) 306-6696
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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 Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1871298000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Adams — Owner · (480) 306-6627
NPI enumeratedApril 5, 2023
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address8240 W Cactus Rd Ste 100, Peoria, AZ 85381-5231

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