CHAMPION REHABILITATION LLC (NPI# 1316362494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316362494 |
| Entity Type | Organization |
| Organization Name | CHAMPION REHABILITATION LLC |
| Practice Address |
2500 English Creek Ave Lifecenter Egg Harbor Township NJ 08234-5549 |
| Practice Telephone | 6096777268 |
| Practice Fax Number | 6096777269 |
| Mailing Telephone | 6096777268 |
| Mailing Fax Number | 6096777269 |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-06-05 |
| Authorized Official Name | MR. SALVATORE LUCIANO (OWNER) |
| Authorized Official Telephone | 6096777268 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA01290500 | NJ | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA00825800 | NJ | Ambulatory Health Care Facilities |
| Street Address |
2500 ENGLISH CREEK AVE LIFECENTER |
| City | EGG HARBOR TOWNSHIP |
| State | NJ |
| Zip Code | 08234-5549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325686 | Gabriele Cuna | Physician Assistant | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2020-01-08 |
| 1952940686 | Phillip Carlyle Cobrand | Advanced Practice Midwife | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2019-12-28 |
| 1932745759 | Susan M Federico | Obstetrics & Gynecology | 2500 English Creek Ave, Suite 604, Egg Harbor Township, NJ 08234 | 2019-11-27 |
| 1891350880 | Jennifer Lynn O'donnell | Nurse Practitioner | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2019-05-05 |
| 1992369458 | Dimyana Ata | Physician Assistant | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2019-04-30 |
| 1174099675 | Christine Angela Droney | Social Worker | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2018-10-23 |
| 1043741663 | Jersey Shore Gastoenterology | Non-Pharmacy Dispensing Site | 2500 English Creek Ave, Suite 903, Egg Harbor Township, NJ 08234-5549 | 2017-03-24 |
| 1588017255 | Ciara Nicole Beck | Dietitian, Registered | 2500 English Creek Ave, Building 1300, Egg Harbor Township, NJ 08234-5549 | 2016-07-19 |
| 1326401373 | Nicole Carone | Physician Assistant | 2500 English Creek Ave, Building 800, Egg Harbor Township, NJ 08234-5549 | 2016-03-29 |
| 1194199265 | Leah Ann Ricciardi | Nurse Practitioner | 2500 English Creek Ave, Bld. 200. Suite 214, Egg Harbor Township, NJ 08234-5549 | 2015-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073007928 | Black Horse Alr LLC | Clinic/Center | 6817 Black Horse Pike, Egg Harbor Township, NJ 08234 | 2018-06-14 |
| 1548762016 | Rebecca Flanigan | Dietitian, Registered | 2500 English Creek Ave. Building 800, Egg Harbor Township, NJ 08234 | 2018-03-01 |
| 1386164143 | Community Quest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Apartment 312 400 Manor Drive, Absecon, NJ 08234 | 2017-06-22 |
| 1639607740 | Swarnalata Debbarma | Psychiatry & Neurology | Atlanticare Behavioral Health, Inc, Egg Harbor Twp., NJ 08234 | 2017-06-02 |
| 1164956751 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Waverly Road, Cardiff, NJ 08234 | 2017-04-20 |
| 1417481003 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 409 Dogwood Lane, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1073047668 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Stone Mill Court, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1831623412 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Springfield Avenue, Mc Kee City, NJ 08234 | 2017-04-20 |
| 1821453234 | Community Quest | Respite Care | 6814 Tilton Road, Egg Harbor Township, NJ 08234 | 2015-12-30 |
| 1023481074 | Caringhouse Projects, Inc | Respite Care | 15 Erma Drive, Egg Harbor Township, NJ 08234 | 2015-11-12 |
| Find all providers in zip 08234 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295996403 | Olympic Physical Therapy, LLC | Clinic/Center | 3069 English Creek Ave, Suite 301, Egg Harbor Township, NJ 08234-9708 | 2008-06-19 |
| 1679619258 | Egg Harbor Township Physical Therapy & Pain Relief LLC | Clinic/Center | 3007 Ocean Heights Ave, Suite 101 &102, Egg Harbor Township, NJ 08234-7707 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336303 | 180degree Therapy | Clinic/Center | 52 Hillcrest Dr, Wayne, NJ 07470-5729 | 2020-11-04 |
| 1467052209 | Maximum Health Physical Therapy of Long Valley, PC | Clinic/Center | 62 E Mill Rd Ste A2, Long Valley, NJ 07853-3118 | 2020-10-30 |
| 1225637861 | Mvmt Performance LLC | Clinic/Center | 133 Eayrestown Rd, Southampton, NJ 08088-9122 | 2020-10-24 |
| 1033718473 | Orthostrength Physical Therapy | Clinic/Center | 8 Eastman St Ste 3, Cranford, NJ 07016-2291 | 2020-10-17 |
| 1356949317 | Coast Physio LLC | Clinic/Center | 140 Metedeconk Rd, Brick, NJ 08723-5442 | 2020-10-13 |
| 1639777964 | Trinity Rehab Somerset Pa | Clinic/Center | 1130 Broad St, Shrewsbury, NJ 07702-4308 | 2020-10-09 |
| 1649878976 | Trinity Rehab Somerset Pa | Clinic/Center | 734 Morris Tpke, Short Hills, NJ 07078-2614 | 2020-10-09 |
| 1336747666 | Trinity Rehab Somerset Pa | Clinic/Center | 910 Hamburg Tpke, Wayne, NJ 07470-3225 | 2020-10-09 |
| 1013514306 | Shoreside In Home Therapy | Clinic/Center | 213 19th Ave, Belmar, NJ 07719-2655 | 2020-10-08 |
| 1164039434 | Cano Physical Therapy | Clinic/Center | 1615 80th St, North Bergen, NJ 07047-4165 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | EGG HARBOR TOWNSHIP |
| Zip Code | 08234 |
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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.