VALLEY SPORTS PHYSICIANS
NPI 1871799635
Neuromusculoskeletal Medicine, Sports Medicine in Avon, CT

NPI Status: Active since June 26, 2007

Contact Information

54 W AVON RD
SUITE 202
AVON, CT
ZIP 06001
Phone: (860) 675-0357
Fax: (860) 675-0358

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About VALLEY SPORTS PHYSICIANS

This page provides the complete NPI Profile along with additional information for Valley Sports Physicians, a provider established in Avon, Connecticut operating as a Neuromusculoskeletal Medicine, Sports Medicine. The healthcare provider is registered in the NPI registry with number 1871799635 assigned on June 2007. The practitioner's primary taxonomy code is 204C00000X with license number 040264 (CT). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Valley Sports Physicians. The authorized official of this NPI record is Miss Nichole Wedderburn (Office / Billing Manager)

NPI
1871799635
Provider Legal Name
VALLEY SPORTS PHYSICIANS & ORTHOPEDIC MEDICINE
Other Organization Name
VALLEY SPORTS PHYSICIANS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
54 W AVON RD SUITE 202 AVON, CT 06001
Location Phone
(860) 675-0357
Location Fax
(860) 675-0358
Mailing Address
54 W AVON RD SUITE 202 AVON, CT 06001
Mailing Phone
(860) 675-0357
Mailing Fax
(860) 675-0358
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-26-2007
Last Update Date
10-24-2007
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neuromusculoskeletal Medicine, Sports Medicine

Taxonomy Code
204C00000X
Type
Allopathic & Osteopathic Physicians
License No.
040264
License State
CT
Taxonomy Description
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/

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1204C00000XAllopathic & Osteopathic Physicians

Neuromusculoskeletal Medicine, Sports Medicine

000406 (CT)
2207QS0010XAllopathic & Osteopathic Physicians

Family Medicine
Sports Medicine

040264 (CT)
3207QS0010XAllopathic & Osteopathic Physicians

Family Medicine
Sports Medicine

000406 (CT)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISS NICHOLE WEDDERBURN

Authorized Official Title
OFFICE / BILLING MANAGER
Authorized Official Phone
(860) 675-0357

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02849MEDICARE PIN (08)CT 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1871799635, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 1 + 4 + 9 + 1 + 8 + 6 + 6 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1871799635.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
54 W AVON RD, SUITE 202
AVON, CT 06001
Physical Therapist (Orthopedic)
54 W AVON RD, SUITE 202
AVON, CT 06001
Specialist/Technologist (Athletic Trainer)
54 W AVON RD
AVON, CT 06001
Neuromusculoskeletal Medicine, Sports Medicine
54 W AVON RD, SUITE 202
AVON, CT 06001
Family Medicine
54 W AVON RD, SUITE 101
AVON, CT 06001
Physician Assistant (Medical)
54 W AVON RD
AVON, CT 06001
Specialist
54 W AVON RD, SUITE 104
AVON, CT 06001
Family Medicine
54 W AVON RD, SUITE 101
AVON, CT 06001
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
54 W AVON RD
AVON, CT 06001
Nurse Practitioner (Family)
54 W AVON RD
AVON, CT 06001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871799635, enumerated as an "organization" on June 26, 2007.

The provider is located at 54 W AVON RD SUITE 202 AVON, CT 06001 and the phone number is (860) 675-0357.

Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.