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 (Family Medicine) Physician · NPI 1912683699

Modern Sports Medicine LLC is a Sports Medicine (Family Medicine) Physician in Chandler, Arizona. Registered with an NPI since 2023.

In the registry since
2023
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

5590 W Chandler Blvd Ste 4
Chandler, AZ 85226-3744
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
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Physical Therapist Taxonomy 225100000X
Orthopedic Physical Therapist Taxonomy 2251X0800X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1912683699
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Adams — Owner · (480) 306-6627
NPI enumeratedJune 26, 2023
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address5590 W Chandler Blvd Ste 4, Chandler, AZ 85226-3744

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