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SPORTS MEDICINE AND ORTHOPEDIC SURGERY P.C. NPI 1578670659


NPI Information

NPI: 1578670659
Provider Name: SPORTS MEDICINE AND ORTHOPEDIC SURGERY, P.C.
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
360 TOLLAND TPKE
SUITE 3C
MANCHESTER, CT
ZIP 06042
Phone: (860) 649-0063
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SPORTS MEDICINE AND ORTHOPEDIC SURGERY, P.C. is a sports medicine orthopaedic surgery in Manchester, CT. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. SPORTS MEDICINE AND ORTHOPEDIC SURGERY, P.C. NPI is 1578670659. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

360 TOLLAND TPKE
SUITE 3C
MANCHESTER, CT
ZIP 06042-771
Phone: (860) 649-0063
Fax: (860) 643-3642

The provider's authorized official is Daniel M Veltri .
The authorized official title is President, Smos and has the following contact phone number (860) 649-0063.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 3/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryCONNECTICUTNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3207XX0005XOrthopaedic SurgerySports MedicineCONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004188331MEDICAIDCONNECTICUT
2C02196MEDICARE PIN
31074510001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.