Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Indiana Sports & Medical Science Institute, PC

Clinic/Center in Crown Point, IN · enumerated 2011 · authorized official Timothy Mullaly, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609155290

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Indiana Sports & Medical Science Institute, PC

Practice address 11275 Delaware Pkwy Ste A, Crown Point, IN, 46307

Phone (219) 779-8735

Fax (877) 715-2312

Enumeration date Aug 12, 2011

Last updated in NPPES Jul 11, 2022

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License 02003099A (IN) Primary

Authorized official

Name Timothy Mullaly

Title Owner

Phone (810) 814-2661

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Indiana Sports & Medical Science Institute, PC located?

The practice location on file with NPPES is in Crown Point, IN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-11. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-11.