CHAMPION FITNESS, INC (NPI# 1114313442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114313442 |
| Entity Type | Organization |
| Organization Name | CHAMPION FITNESS, INC |
| Practice Address |
548 E Springfield Rd Arcola IL 61910-1801 |
| Mailing Address |
924 W Custer Ave Pontiac IL 61764-1067 |
| Practice Telephone | 2172683188 |
| Practice Fax Number | 2172684360 |
| Mailing Telephone | 8158445411 |
| Mailing Fax Number | 8158445322 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |
| Authorized Official Name | MICHAEL COHLMAN (CEO) |
| Authorized Official Telephone | 8158445411 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHAMPION FITNESS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225584816 | Champion Fitness, Inc | Clinic/Center | 947 Jackson Plaza, Morton, IL 61550-1567 | 2016-09-01 |
| 1609322296 | Champion Fitness, Inc | Clinic/Center | 1300 E. Us Highway 40, Casey, IL 62420 | 2016-09-01 |
| 1932653169 | Champion Fitness, Inc | Clinic/Center | 1504 Patton Dr Ste 4, Mahomet, IL 61853-8126 | 2016-08-04 |
| 1306390521 | Champion Fitness, Inc | Clinic/Center | 200 E Cedar St Ste C, Le Roy, IL 61752-1903 | 2016-08-04 |
| 1477007607 | Champion Fitness, Inc | Clinic/Center | 425 E Us Route 6 Ste A, Morris, IL 60450-9043 | 2016-08-04 |
| 1518353861 | Champion Fitness, Inc | Clinic/Center | 108 Watters Dr, Dwight, IL 60420-2200 | 2015-04-14 |
| 1114313467 | Champion Fitness, Inc | Clinic/Center | 902 E Oak St Ste 3, Fairbury, IL 61739-1301 | 2015-04-14 |
| 1457805772 | Champion Fitness, Inc | Clinic/Center | 607 W Jourdan St, Newton, IL 62448-1055 | 2016-08-04 |
| 1942754163 | Champion Fitness, Inc | Clinic/Center | 2105 Court St, Pekin, IL 61554-5216 | 2016-08-04 |
| 1760936991 | Champion Fitness, Inc | Clinic/Center | 605 E Southline Rd, Tuscola, IL 61953-2053 | 2016-08-04 |
| Street Address |
548 E SPRINGFIELD RD |
| City | ARCOLA |
| State | IL |
| Zip Code | 61910-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033315098 | Jessica Mai Ray | Physical Therapist | 548 E Springfield Rd, Arcola, IL 61910-1801 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396838041 | Arcola Cu School District | Local Education Agency (LEA) | 351 W Washington, Arcola, IL 61910 | 2006-10-02 |
| 1720012024 | Virginia A Wade | Family Medicine | 600 E County Road 300 N, Arcola, IL 61910 | 2006-07-10 |
| 1437115417 | Arcola Hco, LLC | Skilled Nursing Facility | 422 E 4th South Street, Arcola, IL 61910 | 2006-04-26 |
| 1083858369 | Arcola Cusd#306 | Student in an Organized Health Care Education/Training Program | 351 W Washington St, Arcola, IL 61910-1120 | 2009-04-30 |
| 1346721909 | Torrie Brittain Kosic | Speech-Language Pathologist | 351 W Washington St, Arcola, IL 61910-1120 | 2018-08-22 |
| 1568942076 | Valerie Sue Traub | Speech-Language Pathologist | 351 W Washington St, Arcola, IL 61910-1120 | 2018-08-15 |
| 1215152814 | Richard Keith Grove | Chiropractor | 253 W Springfield Rd, Arcola, IL 61910-1202 | 2007-04-17 |
| 1083732630 | Sarah Bush Lincoln Health Center | Family Medicine | 241 W Springfield Rd, Arcola, IL 61910-1202 | 2007-03-26 |
| 1710584362 | Jeffery Charles Fishel II | Chiropractor | 253 W Springfield Rd, Arcola, IL 61910-1202 | 2020-10-07 |
| 1457868630 | Beau Tyler Fishel | Chiropractor | 253 W Springfield Rd, Arcola, IL 61910-1202 | 2018-01-09 |
| Find all providers in zip 61910 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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| 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.