CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC - NPI 1487732822 - Neuromusculoskeletal Medicine, Sports Medicine in Lebanon, NH

Q: What is Connecticut Valley Orthopaedics & Sports Medicine, PC's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

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About Connecticut Valley Orthopaedics & Sports Medicine, Pc NPPES

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

CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC (NPI 1487732822) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Lebanon, New Hampshire and active in the NPI registry since November 2006. The organization lists David L Muller, Administrative Partner, as its authorized official.

NPPES Registry Identity

NPI1487732822

Entity TypeOrganization

Primary Taxonomy204C00000X

Legal Business NameCONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC

Location Address106 HANOVER STLebanon, NH 03766-1042

Mailing Address29 Ridgewood Rd, Po Box 2003Springfield, VT 05156-3050 · (802) 885-6379 · Fax (802) 885-6376

Phone(802) 885-6379

Fax(802) 885-6376

Organization SubpartNo

Authorized OfficialDavid L MullerAdministrative Partner · (802) 885-6379

Enumeration DateNovember 2, 2006

Last NPPES UpdateMay 5, 2008

✔ NPI 1487732822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code204C00000X

Definition

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

106 HANOVER ST, Lebanon, NH 03766

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Other Identifiers 6

Medicare ID-Type UnspecifiedVN1017VT · Practice Group Number Vt

Medicare ID-Type UnspecifiedRE3343NH · Practice Group Number Nh

Medicaid30008018NH

Medicare NSC1050470001VT

MedicaidVN1017VT

Medicare NSC1050470002NH

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 9

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

DIANE DREW PA-C

Physician Assistant