Sportsmedic

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SPORTSMEDIC

Practice address

1650 Fort St
Suite a
Trenton, MI 48183-2041

Phone

(734) 671-9200

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ali M Sayed

Title

Administrator

Phone

(734) 671-9200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417034752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 FORT ST",
            "address_2": "SUITE A",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832041",
            "telephone_number": "734-671-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 FORT ST",
            "address_2": "SUITE A",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832041",
            "telephone_number": "734-671-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSMEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAYED",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-671-9200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sue Sorensen
• Michael J Sorosiak, CRNA
• South Valley Internal Medicine, P.C.
• Rahima Spanta, MD
• Stephanie Spink, PT, DPT
• Kevin J Sprague, M.D.
• Hayat Srour, PA-C
• Beverly Jeanette St. Amour
• Haley St.Louis
• Matthew Stander, DO

• Physical Therapy Clinic/Center in Trenton, MI
• Providers in Trenton, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.