Organization provider

SMART SPORTS MEDICINE LLC

Sports Medicine (Physical Medicine & Rehabilitation) Physician Medicare enrolled

SMART SPORTS MEDICINE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1114408739, based in Cheyenne, WY. It is classified under Sports Medicine (Physical Medicine & Rehabilitation) Physician.

Getting there

The practice address on file is 5307 YELLOWSTONE RD, Cheyenne, WY 82009. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5307 YELLOWSTONE RD, Cheyenne, WY 82009 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
3871A WY Sports Medicine (Physical Medicine &… primary

This provider holds licence 3871A issued in WY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
5597002857

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Sports Medicine covers

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. NUCC Health Care Provider Taxonomy, code 2081S0010X
Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Sports Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1114408739 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateAug 22, 2018
Last updatedApr 9, 2026
StatusActive
Practice address 5307 YELLOWSTONE RD
Cheyenne, WY 82009
(307) 632-7677
Fax (307) 778-8292
This record was updated on Apr 9, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1114408739 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 4 0 8 7 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 8 0 7 7 6

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114408739?
NPI 1114408739 is the National Provider Identifier assigned to SMART SPORTS MEDICINE LLC in Cheyenne, WY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Sports Medicine cover?
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine…
How do I contact SMART SPORTS MEDICINE LLC?
The phone number on file with NPPES is (307) 632-7677, last updated Apr 9, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SMART SPORTS MEDICINE LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1114408739 a valid number?
Yes. 1114408739 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.