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

Sports Medicine and Orthopedic Surgery, PC

Organization Orthopaedic Surgery Physician · NPI 1578670659

Sports Medicine and Orthopedic Surgery, PC is an Orthopaedic Surgery Physician in Manchester, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006
Specialties on file
3
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

360 Tolland Tpke Ste 3C
Manchester, CT 06042-1771
Phone: (860) 649-0063
Fax: (860) 643-3642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X (CT)
Orthopaedic Surgery Physician Taxonomy 207X00000X (CT)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1578670659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Veltri — President, Smos · (860) 649-0063
NPI enumeratedAugust 24, 2006
Last updated in NPPESMarch 24, 2015
Mailing address360 Tolland Tpke, Suite 3c, Manchester, CT 06042-1771

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