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

Sportsmedicine Outreach Specialist

Organization Surgical Physician Assistant · NPI 1053898833

Sportsmedicine Outreach Specialist is a Surgical Physician Assistant in Gilbert, Arizona. Works from 5 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2018
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Practice location Address checks out

835 W Warner Rd Ste 101-448
Gilbert, AZ 85233-7269
Phone: (602) 689-9588
Fax: (480) 281-5224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1446 W Redondo Dr, Gilbert, AZ 85233-0910 — (602) 689-9588
  • 8901 E. Raintree Drive, Scottsdale, AZ 85260-7026 — (480) 980-8206
  • 8405 N. Pima Center Parkway, Scottsdale, AZ 85258-4474 — (480) 980-8206
  • 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 — (480) 980-8206

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 3233 (AZ)

Record details

NPI number1053898833
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Overlin — Physician Assistant · (602) 689-9588
NPI enumeratedJuly 24, 2018
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address835 W Warner Rd, Ste 101-448, Gilbert, AZ 85233-7269

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