CHAMPIONSHIP PHYSICAL THERAPY LLC (NPI# 1184731259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184731259 |
| Entity Type | Organization |
| Organization Name | CHAMPIONSHIP PHYSICAL THERAPY LLC |
| Practice Address |
120 Banks St Winthrop MA 02152 |
| Practice Telephone | 6178465609 |
| Practice Fax Number | 6175390025 |
| Mailing Telephone | 6178465609 |
| Mailing Fax Number | 6175390025 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-12-12 |
| Authorized Official Name | MR. WILLIAM J SQUIRES JR. (MANAGER) |
| Authorized Official Telephone | 6178465609 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NEIGHBORHOOD HEALTH | 0034886 | 01 | |
| HARVARD PILGRIM | 606436 | 01 | |
| MA | 9774548 | 05 | |
| MASSHEALTH | 9774548 | 01 | |
| UNITED HEALTHCARE | 6400011 | 01 | |
| AETNA | 112846 | 01 | |
| TUFTS | 831662 | 01 | |
| MEDICARE RR | DD2189 | 01 |
| Street Address |
120 BANKS ST |
| City | WINTHROP |
| State | MA |
| Zip Code | 02152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659365856 | Kishanlal Chakrabarti | Psychiatry & Neurology | 120 Banks St, Winthrop, MA 02152-1931 | 2005-09-02 |
| 1992827695 | Kimberly Russo Cash | Physical Therapist | 120 Banks St, Winthrop, MA 02152-1931 | 2007-04-04 |
| 1457473167 | Teresa Carideo | Physical Therapist | 120 Banks St, Winthrop, MA 02152-1931 | 2007-04-04 |
| 1154443950 | William Joseph Squires, Jr | Physical Therapist | 120 Banks St, Winthrop, MA 02152-1931 | 2007-04-04 |
| 1780732818 | Barbara Fine | Nurse Practitioner | 120 Banks St, Winthrop, MA 02152-1931 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376780130 | Gregory D Whall | Social Worker | 1 Seal Harbor, #302, Winthrop, MA 02152 | 2009-01-15 |
| 1124296264 | Town of Winthrop | Public Health or Welfare | 1 Metcalf Square, Room 5 Town Hall, Winthrop, MA 02152 | 2008-02-12 |
| 1912198318 | Angela Marie Flintoff | Speech-Language Pathologist | 21 Wheelock St # 2, Winthrop, MA 02152 | 2007-08-09 |
| 1750503355 | James R Lee Md | Ophthalmology | 52 Crest Avenue, Winthrop, MA 02152 | 2007-05-03 |
| 1063555449 | Michael E Cagan | Acupuncturist | Seaside Wellness Center, 213 Pauline St, Winthrop, MA 02152 | 2007-02-15 |
| 1710052477 | Barry Theodore Cohen | Dentist | 113 Revere Street, Suite #1, Winthrop, MA 02152 | 2006-11-21 |
| 1912090655 | Richard A Schwartz | Dentist | 313 Main St., Winthrop, MA 02152 | 2006-10-02 |
| 1669427365 | Paul Charles Mcgee | Chiropractor | 57 Putnam Street, Winthrop, MA 02152 | 2006-05-23 |
| 1760465942 | Laverne D Gugino | Anesthesiology | 119 Summit Ave, Winthrop, MA 02152 | 2005-11-22 |
| 1386137099 | Angela Flintoff, Ms Ccc-slp LLC | Speech-Language Pathologist | 21 Wheelock St # 2, Winthrop, MA 02152 | 2018-06-08 |
| Find all providers in zip 02152 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194037846 | Altius Physical Therapy, LLC | Clinic/Center | 625 Highway 20, Winthrop, WA 98862 | 2010-07-10 |
| 1497882880 | Cummings Physical Therapy,inc | Clinic/Center | 11 Bartlett Rd, Winthrop, MA 02152-2912 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518448 | Shira Lauren Dragun | Clinic/Center | 63 1/2 Jefferson Ave, Salem, MA 01970-2975 | 2020-11-03 |
| 1518564566 | Ann Pappas Physical Therapy | Clinic/Center | 470 Washington St Ste 31, Norwood, MA 02062-2343 | 2020-10-02 |
| 1538786272 | Neurologic Optimal Wellness Physical Therapy LLC | Clinic/Center | 180 King St, Springfield, MA 01109-4316 | 2020-06-29 |
| 1689297525 | Full Spectrum Physical Therapy and Performance, LLC | Clinic/Center | 17 Cannongate Rd Apt 83, Tyngsboro, MA 01879-1413 | 2020-05-27 |
| 1992328421 | Adam Auto Accident Physio Doctor,inc | Clinic/Center | 1011 Beacon St Ste 1, Brookline, MA 02446-5696 | 2020-05-19 |
| 1952938839 | Jessica Moy Wellness LLC | Clinic/Center | 255 Massachusetts Ave Apt 204, Boston, MA 02115-3511 | 2020-03-23 |
| 1598390940 | The Method Performance and Physical Therapy LLC | Clinic/Center | 378 North St Apt 2, Boston, MA 02113-2143 | 2020-03-05 |
| 1104458785 | Olender Physical Therapy, LLC | Clinic/Center | 316 Washington St Ste 1, Wellesley, MA 02481-4959 | 2020-02-11 |
| 1851930028 | Core Physical Therapy & Performance, LLC | Clinic/Center | 11 Randolph Rd, Randolph, MA 02368-4321 | 2020-01-05 |
| 1316585482 | Healthworks Med Group of Massachusetts P C | Clinic/Center | 157 Berkeley St, Boston, MA 02116-5108 | 2019-12-19 |
| 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.