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

Ptr Sports, a Medical Corporation

Organization Sports Medicine (Family Medicine) Physician · NPI 1083750764

Ptr Sports, a Medical Corporation is a Sports Medicine (Family Medicine) Physician in Santa Clara, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1825 Civic Center Dr Ste 25
Santa Clara, CA 95050-7301
Phone: (408) 404-4700
Fax: (408) 404-4701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1083750764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Blue — President · (408) 404-4700
NPI enumeratedJanuary 29, 2007
Last updated in NPPESOctober 28, 2008
Mailing address1825 Civic Center Dr, Suite 25, Santa Clara, CA 95050-7301

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