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MOUNTAIN SPORTS MEDICINE, INC.
NPI 1285674994
Family Medicine in West Dover, VT

Active since June 08, 2006
13 GRAND SUMMIT WAY, WEST DOVER, VT 05356(802) 464-9300(802) 464-9314 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mountain Sports Medicine, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN SPORTS MEDICINE, INC. (NPI 1285674994) is a healthcare organization registered as a family medicine in West Dover, Vermont and active in the NPI registry since June 2006. The organization lists Cheryl L. Rothman, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1285674994
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNTAIN SPORTS MEDICINE, INC.
Location Address13 GRAND SUMMIT WAYWest Dover, VT 05356
Mailing AddressPo Box 207West Dover, VT 05356-0207 · (802) 464-9300 · Fax (802) 464-9314
Phone(802) 464-9300
Fax(802) 464-9314
Organization SubpartNo
Authorized OfficialCheryl L. RothmanBusiness Manager · (802) 464-9311
Enumeration DateJune 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1285674994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

13 GRAND SUMMIT WAY, West Dover, VT 05356
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Other Identifiers 1

Medicaid0004530VT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHWESTERN VERMONT MEDICAL CENTER, INC
General Practice
13 GRAND SUMMIT WAY
WEST DOVER, VT 05356
Windham County (802) 464-9300
SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES
Clinic/Center (Urgent Care)
13 GRAND SUMMIT WAY
WEST DOVER, VT 05356
Windham County (802) 464-9300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Sports Medicine, Inc.'s NPI number?

The NPI number for Mountain Sports Medicine, Inc. is 1285674994. It was assigned to this organization in the NPPES registry on June 8, 2006.

Where is Mountain Sports Medicine, Inc. located?

Mountain Sports Medicine, Inc. is located at 13 Grand Summit Way, West Dover, VT 05356. The listed phone number is (802) 464-9300.

What is Mountain Sports Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mountain Sports Medicine, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.