SPORTS & FAM CARE CLINIC INC (NPI# 1316135551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316135551 |
| Entity Type | Organization |
| Organization Name | SPORTS & FAM CARE CLINIC INC |
| Practice Address |
16515 S 40th St Suite 133 Phoenix AZ 85048-0558 |
| Practice Telephone | 4807046133 |
| Practice Fax Number | 4807045874 |
| Mailing Telephone | 4807046133 |
| Mailing Fax Number | 4807045874 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-16 |
| Authorized Official Name | DR. MICHAEL AKERSON (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 4807046133 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
5932 | AZ | Chiropractic Providers |
| Street Address |
16515 S 40TH ST SUITE 133 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048-0558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487655395 | Michael Akerson | Chiropractor | 16515 S 40th St, Suite 133, Phoenix, AZ 85048-0558 | 2005-08-02 |
| 1043715493 | Erin Conway | Nurse Practitioner | 16515 S 40th St, Phoenix, AZ 85048-0558 | 2018-03-28 |
| 1316394646 | Huguette Kalongo | Nurse Practitioner | 16515 S 40th St, Phoenix, AZ 85048-0558 | 2016-05-17 |
| 1316348790 | Mark Dietzgen | Naturopath | 16515 S 40th St, Suite 103, Phoenix, AZ 85048-0558 | 2014-09-04 |
| 1801219639 | Spooner Ahwatukee Hand Therapy, PC | Occupational Therapist | 16515 S 40th St, Ste 119b, Phoenix, AZ 85048-0558 | 2014-01-30 |
| 1114348588 | Mary Margaret Rivera | Nurse Practitioner | 16515 S 40th St, Suite 103, Phoenix, AZ 85048-0558 | 2014-01-02 |
| 1639410723 | Sanjay B Patel, Do, PC | Emergency Medicine | 16515 S 40th St, Suite 139, Phoenix, AZ 85048-0558 | 2013-03-14 |
| 1275872848 | Kelly Lynne Armenta | Registered Nurse | 16515 S 40th St, Suite 139, Phoenix, AZ 85048-0558 | 2013-02-02 |
| 1447503818 | Rhino Billing | Specialist/Technologist, Other | 16515 S 40th St, Suite 123, Phoenix, AZ 85048-0558 | 2012-10-22 |
| 1255693289 | Spooner Physical Therapy & Hand Rehab PC | Clinic/Center | 16515 S 40th St, Ste 119 B, Phoenix, AZ 85048-0558 | 2012-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
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| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265855647 | Zackery Allen Conklin | Chiropractor | 2929 N 75th Ave Ste 15, Phoenix, AZ 85033-5443 | 2014-01-21 |
| 1205180684 | Natasha Williams | Chiropractor | 8910 N Central Ave, Phoenix, AZ 85020-2819 | 2012-11-06 |
| 1588814842 | Arizona Spine and Sports Medicine, Pllc | Chiropractor | 17606 N 17th Pl, Unit 1010, Phoenix, AZ 85022-2136 | 2008-09-23 |
| 1598911604 | Kendra A Wellman | Chiropractor | 4646 E Greenway Rd Ste 104, Phoenix, AZ 85032-4805 | 2008-08-09 |
| 1821298662 | Dean J Micalizio | Chiropractor | 918 W Royal Palm Rd, Phoenix, AZ 85021-5657 | 2007-07-19 |
| 1366473639 | Arlen Earle Scholl | Chiropractor | 3520 E Indian School Rd Ste C, Phoenix, AZ 85018-5156 | 2006-07-05 |
| 1093778060 | Patrick Darin Chiavaroli | Chiropractor | 4646 E Greenway Rd, Suite 104, Phoenix, AZ 85032-4805 | 2006-04-10 |
| 1336119924 | Michael Seifried | Chiropractor | 40 N Central Ave, Suite #775, Phoenix, AZ 85004-4424 | 2006-01-25 |
| 1215917554 | Monte D Hessler | Chiropractor | 230 S 3rd St, Ste B3, Phoenix, AZ 85004 | 2006-01-20 |
| 1669477535 | Jay Douglas Mcfarlane | Chiropractor | 11030 N Tatum Blvd, Ste 102, Phoenix, AZ 85028-6073 | 2005-06-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.