Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northern Michigan Sports Medicine Center

Organization Physical Therapist · NPI 1538123906

Northern Michigan Sports Medicine Center provides Physical Therapist services in Petoskey, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

4048 Cedar Bluff Dr Ste 2
Petoskey, MI 49770-8895
Phone: (231) 347-9300
Fax: (231) 347-1613
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X (MI)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1538123906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Smith — Administrator · (231) 347-9300
NPI enumeratedApril 13, 2006
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address4048 Cedar Bluff Dr, Suite 2, Petoskey, MI 49770-8895

Other providers in Petoskey