CHAMPLAIN SPORTS MEDICINE PC
NPI 1518106491
Neuromusculoskeletal Medicine, Sports Medicine in Essex Junction, VT

Active since February 17, 2009
67 LINCOLN ST, ESSEX JUNCTION, VT 05452(802) 878-1003(802) 878-9966 Get Directions Write a Review

NPPES record last updated: June 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2017, May 9, 2017, Apr 18, 2017 (3 updates tracked since 2017).

About Champlain Sports Medicine Pc NPPES

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

CHAMPLAIN SPORTS MEDICINE PC (NPI 1518106491) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Essex Junction, Vermont and active in the NPI registry since February 2009. The organization lists John Russell Johansson, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1518106491
Entity TypeOrganization
Primary Taxonomy204C00000X
Legal Business NameCHAMPLAIN SPORTS MEDICINE PC
Location Address67 LINCOLN STEssex Junction, VT 05452-3235
Mailing Address67 Lincoln StEssex Junction, VT 05452-3235 · (802) 878-1003 · Fax (802) 878-9966
Fax(802) 878-9966
Organization SubpartNo
Authorized OfficialJohn Russell JohanssonOwner/physician · (802) 878-1003
Enumeration DateFebruary 17, 2009
Last NPPES UpdateJune 13, 20173 updates tracked since enumeration
NPI 1518106491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
License Licensed in VT · 0320000304
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/
67 LINCOLN ST, Essex Junction, VT 05452

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 7

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

Physical Therapist
67 LINCOLN ST
ESSEX JUNCTION, VT 05452
Physical Therapist
67 LINCOLN ST
ESSEX JCT, VT 05452
Neuromusculoskeletal Medicine, Sports Medicine
67 LINCOLN ST
ESSEX JUNCTION, VT 05452
Psychologist (Clinical)
67 LINCOLN ST
ESSEX JUNCTION, VT 05452
Clinic/Center (Occupational Medicine)
67 LINCOLN ST
ESSEX JUNCTION, VT 05452
Physical Therapist
67 LINCOLN ST
ESSEX JUNCTION, VT 05452
Physical Therapist
67 LINCOLN ST, CHAMPLAIN PHYSICAL THERAPY
ESSEX JUNCTION, VT 05452

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 Champlain Sports Medicine PC's NPI number?

The NPI number for Champlain Sports Medicine PC is 1518106491. It was assigned to this organization in the NPPES registry on February 17, 2009.

Where is Champlain Sports Medicine PC located?

Champlain Sports Medicine PC is located at 67 Lincoln St, Essex Junction, VT 05452. The listed phone number is (802) 878-1003.

What is Champlain Sports Medicine PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Champlain Sports Medicine PC was last updated on June 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.