NPIMap

Organization Active NPI

Sports Medicine Specialists

  • Physical Therapy Clinic/Center
  • Delaware, OH
National Provider Identifier
1437540069
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPORTS MEDICINE SPECIALISTS
Practice address
481 Trace Dr
Delaware, OH 43015-7059
Phone
(614) 432-6401
NPI assigned
Feb 18, 2015
Last updated
Nov 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Mr. Michael Sean Huffman, PTNPI 1720476989
Title
President
Phone
(614) 432-6401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

481 Trace Dr
Delaware, OH 43015-7059

Mailing address

481 Trace Dr
Delaware, OH 43015-7059
Phone (614) 432-6401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151117001134 OH Part B Supplier - Clinic/Group Practice 2769792001 Receives reassigned benefits from 6 practitioners
Practice locations: Columbus, OH; Lewis Center, OH; Gahanna, OH

National Provider Directory

National Provider Directory

Locations

1344 W Lane Ave
Columbus, OH 43221
Phone (614) 981-1979

5792 N Hamilton Rd
Ste C
Columbus, OH 43230
Phone (614) 981-2065

1270 E Powell Rd
Lewis Center, OH 43035
Phone (614) 432-6401

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1437540069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 TRACE DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157059",
            "telephone_number": "614-432-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 TRACE DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157059",
            "telephone_number": "614-432-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-432-6401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.