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

Northern Michigan Sports Medicine Center

Organization Physical Therapist · NPI 1538123906

Northern Michigan Sports Medicine Center is a Physical Therapist in Petoskey, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

4048 Cedar Bluff Dr Ste 2
Petoskey, MI 49770-8895
Phone: (231) 347-9300
Fax: (231) 347-1613
Show map & directions

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

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X (MI)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1538123906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Smith — Administrator · (231) 347-9300
NPI enumeratedApril 13, 2006
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address4048 Cedar Bluff Dr, Suite 2, Petoskey, MI 49770-8895

Other providers in Petoskey