Champlain Valley Brace and Limb, L.L.C.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CHAMPLAIN VALLEY BRACE AND LIMB, L.L.C.

Doing business as

ActivStyle

Practice address

528 Essex Rd
Suite 201
Williston, VT 05495-7555

Phone

(518) 907-0225

Fax

(518) 561-5335

NPI assigned

Dec 31, 2007

Last updated

Apr 28, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

ACTIVSTYLE HOLDING COMPANYAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen Griggs

Title

Ceo

Phone

(407) 206-0040

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ActivStyle Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1285819920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BROADWAY ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132638",
            "telephone_number": "800-651-6223",
            "fax_number": "866-896-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 ESSEX RD",
            "address_2": "SUITE 201",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957555",
            "telephone_number": "518-907-0225",
            "fax_number": "518-561-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPLAIN VALLEY BRACE AND LIMB, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVSTYLE HOLDING COMPANY",
        "enumeration_date": "2007-12-31",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-206-0040"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013711",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActivStyle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ActivStyle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catalyst Physiotherapy LLC
• Jennifer Cermenaro, PT, DPT
• Gavin B Chadwell, LCMHC
• Sarah Chadwell, LCMHC
• Champlain Center for Play Therapy and Family Counseling
• Champlain Valley Speech Therapy
• Taylor Christine Champlin, DPT
• Maghan Charland, ATC
• Savannah Cheeseman, PHARMD, RPH
• Heather Marie Chernyshov, MS, ATC, NCTMB

• Durable Medical Equipment & Medical Supplies in Williston, VT
• Providers in Williston, VT by specialty
• Durable Medical Equipment & Medical Supplies in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.