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

Sport Institute of Tucson PC

Organization Specialist · NPI 1154389005

Sport Institute of Tucson PC provides Specialist services in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6369 E Tanque Verde Rd
Tucson, AZ 85715-3850 Not confirmed with CMS for 13 years — call before visiting
Phone: (520) 618-5500
Fax: (520) 618-5944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 3953 (AZ)

Record details

NPI number1154389005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ty Endean — Director/Owner · (520) 618-5500
NPI enumeratedMay 2, 2006
Last updated in NPPESAugust 27, 2013
Mailing address6369 E Tanque Verde Rd, Tucson, AZ 85715-3850

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