OrganizationActive
Valley Sports Physicians & Orthopedic Medicine
NPI 1871799635 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · Avon, CT
Provider details
- NPI number
- 1871799635
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nichole Wedderburn, Office / Billing Manager(860) 675-0357
- License
- 000406 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
54 W Avon Rd
Suite 202
Avon, CT 06001-3680
Phone: (860) 675-0357
Fax: (860) 675-0358
Approximate (ZIP-level) locationGet directions
Mailing address
54 W Avon Rd
Avon, CT 06001-3680
Other names (DBA / former)
- Doing business as
- Valley Sports Physicians
Registry dates
- Enumerated
- 2007-06-26
- Last updated
- 2007-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.