Modern Sports Medicine LLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

MODERN SPORTS MEDICINE LLC

Practice address

14821 N del Webb Blvd
Sun City, AZ 85351-2145

Phone

(480) 878-4806

Fax

(480) 840-1672

NPI assigned

Jul 24, 2020

Last updated

Sep 26, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MODERN SPORTS MEDICINE LLCAs reported in NPPES

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

Authorized official

Name

Joshua Adams

Title

Owner

Phone

(480) 306-6627

Specialties & licenses 2

Addresses

Part of

Modern Sports Medicine LLC

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1700495892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 E WARNER RD STE 121",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843445",
            "telephone_number": "480-878-4806",
            "fax_number": "480-840-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14821 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512145",
            "telephone_number": "480-878-4806",
            "fax_number": "480-840-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN SPORTS MEDICINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MODERN SPORTS MEDICINE LLC",
        "enumeration_date": "2020-07-24",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-306-6627"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Renea Miller
• Bradley Millman, PSYD
• Alison Taylor Mitchell, PT, DPT
• Shashank Mittal, MD
• Mynon Mitton, FNP-C
• Aniket Mody
• Janine Montagna, SLP
• Jung Kuk Moon
• Nathan Leroy Moon, DC
• Greg R Moore, AUD, CCCA

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.