Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mountain Sports Medicine, Inc

Organization Family Medicine Physician · NPI 1285674994

Mountain Sports Medicine, Inc provides Family Medicine Physician services in West Dover, Vermont. Licensed in Vermont. Registered with an NPI since 2006.

Licensed in
VT
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13 Grand Summit Way
West Dover, VT 05356
Phone: (802) 464-9300
Fax: (802) 464-9314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (VT)

Record details

NPI number1285674994
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Rothman — Business Manager · (802) 464-9311
NPI enumeratedJune 8, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 207, West Dover, VT 05356-0207