Sportsmedicine Outreach Specialist

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

3233 Issued in AZ

Legal business name

SPORTSMEDICINE OUTREACH SPECIALIST

Practice address

835 W Warner Rd
Ste 101-448
Gilbert, AZ 85233-7269

Phone

(602) 689-9588

Fax

(480) 281-5224

NPI assigned

Jul 24, 2018

Last updated

Mar 17, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Matthew Dean Overlin, PA-CNPI 1518916113

Title

Physician Assistant

Phone

(602) 689-9588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew D Overlin, PA

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1518916113
  Medicare reassignment Authorized official
• Stacey Root, PA-C

  • Physician Assistant
  • Chandler, AZ
  • NPI 1518358894
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1053898833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 W WARNER RD",
            "address_2": "STE 101-448",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337269",
            "telephone_number": "480-980-8206",
            "fax_number": "480-281-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 W WARNER RD",
            "address_2": "STE 101-448",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337269",
            "telephone_number": "602-689-9588",
            "fax_number": "480-281-5224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1446 W Redondo Dr",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852330910",
            "country_code": "US",
            "telephone_number": "602-689-9588",
            "fax_number": "480-281-5224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8901 E. RAINTREE DRIVE",
            "address_2": "SUITE 100",
            "address_purpose": "LOCATION",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607026",
            "country_code": "US",
            "telephone_number": "480-980-8206",
            "fax_number": "480-281-5224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9003 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606709",
            "country_code": "US",
            "telephone_number": "480-980-8206",
            "fax_number": "480-281-5224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8405 N. Pima Center Parkway",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584474",
            "country_code": "US",
            "telephone_number": "480-980-8206",
            "fax_number": "480-281-5224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPORTSMEDICINE OUTREACH SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "OVERLIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "602-689-9588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "3233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine Capital, LLC
• Spooner Physical Therapy & Hand Rehab, PC (Spooner Gilbert)
• Jean Marie Spoor, COTA/L
• Sports & Orthopaedic Specialists of Arizona LLC
• Sportsdocs Family Chiropractic Group, Inc
• Kaitlyn Ann Spousta, PA-C
• Jennifer Spradlin
• Renee Spradlin, SLPL
• Rebecca J Spradling, M.C.
• Bethany A Sprague, RBT

• Surgical Physician Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.