| Modern Sports Medicine Llc | |
|
10450 E Riggs Rd Ste 104 Sun Lakes AZ 85248-7759 | |
| (502) 415-2836 | |
| Not Available |
| Full Name | Modern Sports Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10450 E Riggs Rd Ste 104, Sun Lakes, Arizona |
| Authorized Official Name and Position | Josh Adams (OWNER) |
| Authorized Official Contact | 5024152836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Sports Medicine Llc 10450 E Riggs Rd Ste 104 Sun Lakes AZ 85248-7759 Ph: (502) 415-2836 | Modern Sports Medicine Llc 10450 E Riggs Rd Ste 104 Sun Lakes AZ 85248-7759 Ph: (502) 415-2836 |
| NPI Number | 1285295089 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 06/24/2021 |
| Medicare PECOS PAC ID | 6800228479 |
|---|---|
| Medicare Enrollment ID | O20191120000879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285295089 | NPI | - | NPPES |
| Provider Name | Ian R Hover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366445033 PECOS PAC ID: 1456308311 Enrollment ID: I20050401000928 |
| Provider Name | Eric S Percy Fine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053314138 PECOS PAC ID: 1254243629 Enrollment ID: I20060712000140 |
| Provider Name | Robert L Oakeson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598764680 PECOS PAC ID: 8123035805 Enrollment ID: I20061012000673 |
| Provider Name | Brianne R Showman Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891889556 PECOS PAC ID: 1850399981 Enrollment ID: I20061127000367 |
| Provider Name | Ashley M Christensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114159803 PECOS PAC ID: 4082760277 Enrollment ID: I20090911000723 |
| Provider Name | Eric S Christensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639406648 PECOS PAC ID: 3274668298 Enrollment ID: I20100322000358 |
| Provider Name | Laurie L Shepard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033116397 PECOS PAC ID: 7517946148 Enrollment ID: I20100924000589 |
| Provider Name | Benjamin Jared Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447339304 PECOS PAC ID: 0749249324 Enrollment ID: I20110812000225 |
| Provider Name | Colin T Rigney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649565276 PECOS PAC ID: 6204071491 Enrollment ID: I20130315000435 |
| Provider Name | Stacey Louise Dault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760775357 PECOS PAC ID: 1759503980 Enrollment ID: I20160115000512 |
| Provider Name | Ryan Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902155344 PECOS PAC ID: 9234382276 Enrollment ID: I20160209000500 |
| Provider Name | Lindsay Nicole Czaplewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487170403 PECOS PAC ID: 2668747601 Enrollment ID: I20171002001700 |
| Provider Name | Jacob Kelso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518472059 PECOS PAC ID: 9638437346 Enrollment ID: I20171228002580 |
| Provider Name | Collin Hittle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205188315 PECOS PAC ID: 1951663525 Enrollment ID: I20180319001591 |
| Provider Name | Marissa Lynn Desjardins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083112106 PECOS PAC ID: 6709139231 Enrollment ID: I20181030000981 |
| Provider Name | Ryan M Cooney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922669258 PECOS PAC ID: 4183953912 Enrollment ID: I20190904001657 |
| Provider Name | Katelyn Steinken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699349316 PECOS PAC ID: 0648679670 Enrollment ID: I20210525001600 |
| Provider Name | Phillip Shook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790435006 PECOS PAC ID: 3870973480 Enrollment ID: I20220629000505 |
Donald J Boles Jr Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9508 E Riggs Rd, Ste Mc263, Sun Lakes, AZ 85248 Phone: 480-895-2010 Fax: 480-883-2747 | |
Lakeside Internal Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10450 E Riggs Rd, Suite 110, Sun Lakes, AZ 85248 Phone: 480-895-7600 Fax: 480-895-7601 | |
Dlugas Chiropractic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9666 E Riggs Rd Ste 130, Sun Lakes, AZ 85248 Phone: 480-282-2628 | |
Phoenician Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10440 E Riggs Rd Ste 200, Sun Lakes, AZ 85248 Phone: 480-963-1853 | |
First Choice Family Care, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10440 E Riggs Rd Ste 201, Sun Lakes, AZ 85248 Phone: 480-615-2000 Fax: 480-962-0523 | |
Roger P. Rose, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10440 E Riggs Rd Ste 203, Sun Lakes, AZ 85248 Phone: 480-297-5400 |