Sportsrx LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPORTSRX LLC

Practice address

12409 Wynmeade PL
Louisville, KY 40223-1630

Phone

(502) 303-0919

Fax

(772) 872-5889

NPI assigned

Dec 15, 2017

Organization subpart

No

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

Authorized official

Name

Jimmy Brannon

Title

Owner

Phone

(502) 890-3198

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1548776362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12409 WYNMEADE PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402231630",
            "telephone_number": "502-303-0919",
            "fax_number": "772-872-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 WYNMEADE PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402231630",
            "telephone_number": "502-303-0919",
            "fax_number": "772-872-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-890-3198"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Dawn Spivey, APRN
• Towanda Meketa Splunge
• Sports Medicine Surgical Specialists PLLC
• Sports Medicine Surgical Specialists PLLC
• Sports Medicine Surgical Specialists PLLC
• Kaelyn Noelle Spowart
• Amela Spradling, CRNA
• Corey Spragens
• Victoria L Spreitler, APRN
• Sarah Sprigg, MD

• Durable Medical Equipment & Medical Supplies in Louisville, KY
• Providers in Louisville, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.