Provider Type Icon

ACTIVE ATHLETE SPORTS MEDICINE PSC NPI 1699920272


NPI Information

NPI: 1699920272
Provider Name: ACTIVE ATHLETE SPORTS MEDICINE PSC
Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
3891 CHARLESTOWN RD
NEW ALBANY, IN
ZIP 47150
Phone: (812) 949-3482
Get Directions

ACTIVE ATHLETE SPORTS MEDICINE PSC is a sports medicine family medicine in New Albany, IN. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. ACTIVE ATHLETE SPORTS MEDICINE PSC NPI is 1699920272. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3891 CHARLESTOWN RD
NEW ALBANY, IN
ZIP 47150-562
Phone: (812) 949-3482
Fax: (812) 812-9418

The provider's authorized official is Tricia Roberts .
The authorized official title is Manager and has the following contact phone number (812) 949-3482.

The enumeration date for this NPI number is 11/24/2008 and was last updated on 2/24/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QS0010XFamily MedicineSports Medicine01033436AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1191920MEDICARE PININDIANA
2100327800MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.