CHAMPION PHYSICAL THERAPY LLC HALLS (NPI# 1083101448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083101448 |
| Entity Type | Organization |
| Organization Name | CHAMPION PHYSICAL THERAPY LLC HALLS |
| Other Organization Name | CORA PHYSICAL THERAPY - JOHNSON CITY |
| Practice Address |
4307 N Roan St Ste 7 Johnson City TN 37615-4973 |
| Mailing Address |
1110 Shawnee Rd Lima OH 45805-3529 |
| Practice Telephone | 4234915222 |
| Practice Fax Number | 4234915223 |
| Mailing Telephone | 4192216720 |
| Mailing Fax Number | 4192220507 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |
| Authorized Official Name | MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4192216712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CORA Physical Therapy - Johnson City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396311 | Champion Physical Therapy LLC Halls | Clinic/Center | 4442 Frontage Rd Nw Unit 1, Cleveland, TN 37312-2903 | 2019-10-02 |
| 1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
| 1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
| 1083101463 | Champion Physical Therapy LLC Halls | Clinic/Center | 109 Sugarfoot Way Ste 5, Pigeon Forge, TN 37863-6204 | 2018-04-20 |
| 1528555992 | Champion Physical Therapy LLC Halls | Clinic/Center | 1825 N Eastman Rd Ste 4a, Kingsport, TN 37664-2372 | 2018-04-20 |
| 1316434764 | Champion Physical Therapy LLC Halls | Clinic/Center | 1159 Volunteer Pkwy Ste A, Bristol, TN 37620-4684 | 2018-04-20 |
| 1922595388 | Champion Physical Therapy LLC Halls | Clinic/Center | 2305 N Gateway Ave Unit 5, Harriman, TN 37748-8682 | 2018-04-20 |
| 1013404516 | Champion Physical Therapy LLC Halls | Clinic/Center | 121 N Calderwood St, Alcoa, TN 37701-2109 | 2018-04-19 |
| 1396232682 | Champion Physical Therapy LLC Halls | Clinic/Center | 7228 Norris Fwy, Knoxville, TN 37918-5744 | 2018-04-23 |
| 1285121673 | Champion Physical Therapy LLC Halls | Clinic/Center | 3108 Circle Dr, White Pine, TN 37890-3306 | 2018-04-20 |
| Street Address |
4307 N ROAN ST STE 7 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37615-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1700018603 | Anna Lynne Deal | Nurse Practitioner | 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 | 2009-08-11 |
| 1285876631 | Leigh A Furman | Occupational Therapist | 253 Wiltshire Dr., Gray, TN 37615 | 2009-04-01 |
| 1811098908 | Fay Lynn Bembry | Nurse Practitioner | 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 | 2006-09-25 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1568402048 | Joseph Vincent Pinyard Jr. | Family Medicine | 880 Boones Station Rd, Johnson City, TN 37615 | 2006-06-07 |
| 1548223084 | Pitchar Theerathorn | Internal Medicine | 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 | 2006-04-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| Find all providers in zip 37615 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730245010 | Frontier Health | Clinic/Center | 2243 Eddie Williams Rd, Johnson City, TN 37601-2872 | 2006-12-29 |
| 1992073738 | Johnson City Physical Occupational Speech Outpatient Therapy, Pllc | Clinic/Center | 234 E Main St, Johnson City, TN 37604-5708 | 2011-12-07 |
| 1326187808 | Nhc Healthcare Johnson City LLC | Clinic/Center | 3209 Bristol Hwy, Johnson City, TN 37601-1515 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151777 | Champion Physical Therapy, LLC | Clinic/Center | 109 Sugarfoot Way # 5, Pigeon Forge, TN 37863-6204 | 2020-10-09 |
| 1417588401 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 365 S Hartmann Dr Ste 102, Lebanon, TN 37087-4788 | 2020-01-29 |
| 1497396311 | Champion Physical Therapy LLC Halls | Clinic/Center | 4442 Frontage Rd Nw Unit 1, Cleveland, TN 37312-2903 | 2019-10-02 |
| 1205484805 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 4572 Poplar Ave, Memphis, TN 38117-7514 | 2019-08-28 |
| 1588228662 | Catalyst Physical Therapy and Performance, LLC | Clinic/Center | 1056 E Trinity Ln # 104, Nashville, TN 37216-3030 | 2019-04-24 |
| 1790247724 | Treehouse Therapy, Pllc | Clinic/Center | 7 Fireside Way, Signal Mountain, TN 37377-2019 | 2019-03-31 |
| 1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
| 1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
| 1083101463 | Champion Physical Therapy LLC Halls | Clinic/Center | 109 Sugarfoot Way Ste 5, Pigeon Forge, TN 37863-6204 | 2018-04-20 |
| 1528555992 | Champion Physical Therapy LLC Halls | Clinic/Center | 1825 N Eastman Rd Ste 4a, Kingsport, TN 37664-2372 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37615 |
Please comment or provide details below to improve the information on CHAMPION PHYSICAL THERAPY LLC HALLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.