Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Commonwealth Sports Medicine PC

Organization Specialist · NPI 1356406656

Commonwealth Sports Medicine PC is a Specialist in Glen Allen, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4300 Pouncey Tract Rd Ste F
Glen Allen, VA 23060-6007
Phone: (804) 270-7750
Fax: (804) 497-8625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0101238212 (VA)

Record details

NPI number1356406656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Stadler — Owner · (804) 270-7750
NPI enumeratedDecember 27, 2006
Last updated in NPPESApril 8, 2014
Mailing address4300 Pouncey Tract Rd, Suite F, Glen Allen, VA 23060-6007

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