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

Active since June 26, 2007
54 W AVON RD, SUITE 202, AVON, CT 06001(860) 675-0357(860) 675-0358 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Valley Sports Physicians NPPES

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

VALLEY SPORTS PHYSICIANS (NPI 1871799635) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Avon, Connecticut and active in the NPI registry since June 2007. The organization lists Nichole Wedderburn, Office / Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1871799635
Entity TypeOrganization
Primary Taxonomy204C00000X
Legal Business NameVALLEY SPORTS PHYSICIANS & ORTHOPEDIC MEDICINE
Location Address54 W AVON RD, SUITE 202Avon, CT 06001-3680
Mailing Address54 W Avon Rd, Suite 202Avon, CT 06001-3680 · (860) 675-0357 · Fax (860) 675-0358
Fax(860) 675-0358
Organization SubpartNo
Authorized OfficialNichole WedderburnOffice / Billing Manager · (860) 675-0357
Enumeration DateJune 26, 2007
Last NPPES UpdateOctober 24, 2007
NPI 1871799635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
Licenses Licensed in CT · 040264 Licensed in CT · 000406
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/
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 040264 (CT), 000406 (CT)
54 W AVON RD, Avon, CT 06001

Other Names 1

Doing Business AsValley Sports Physicians

Other Identifiers 1

Medicare PIN02849CT

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

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

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 Valley Sports Physicians & Orthopedic Medicine's NPI number?

The NPI number for Valley Sports Physicians & Orthopedic Medicine is 1871799635. It was assigned to this organization in the NPPES registry on June 26, 2007. The provider is doing business as Valley Sports Physicians.

Where is Valley Sports Physicians & Orthopedic Medicine located?

Valley Sports Physicians & Orthopedic Medicine is located at 54 W Avon Rd Suite 202, Avon, CT 06001. The listed phone number is (860) 675-0357.

What is Valley Sports Physicians & Orthopedic Medicine'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 Valley Sports Physicians & Orthopedic Medicine was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.