CHAMPION FITNESS INC (NPI# 1407801012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407801012 |
| Entity Type | Organization |
| Organization Name | CHAMPION FITNESS INC |
| Practice Address |
924 W Custer Ave Pontiac IL 61764-1067 |
| Practice Telephone | 8158445411 |
| Practice Fax Number | 8158445318 |
| Mailing Telephone | 8158444690 |
| Mailing Fax Number | 8158444810 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-10-19 |
| Authorized Official Name | MR. JEFFERY C SCHADE (OWNER) |
| Authorized Official Telephone | 8158444810 |
| Authorized Official Credential | PHYSICAL THERAPI |
| 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 |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 5307269 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | CHAMPION FITNESS INC. | 300 N Greene St, Ste 1400, Greensboro, NC 27401 |
| Street Address |
924 W CUSTER AVE |
| City | PONTIAC |
| State | IL |
| Zip Code | 61764-1067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760974232 | Jordan Collins | Physical Therapist | 924 W Custer Ave, Pontiac, IL 61764 | 2018-05-31 |
| 1164656567 | Tanya M Knauff | Physical Therapist | 924 W Custer Ave, Pontiac, IL 61764-1067 | 2009-05-13 |
| 1750554853 | Amanda L Brooks | Physical Therapist | 924 W Custer Ave, Pontiac, IL 61764-1067 | 2008-04-09 |
| 1659400026 | Sylvia M Smiser | Physical Therapist | 924 W Custer Ave, Pontiac, IL 61764-1067 | 2007-03-03 |
| 1295772929 | Jeffery C Schade | Physical Therapist | 924 W Custer Ave, Pontiac, IL 61764-1067 | 2006-06-01 |
| 1093752727 | Michael S Bennington | Physical Therapist | 924 W Custer Ave, Pontiac, IL 61764-1067 | 2006-06-01 |
| 1205881224 | Thomas L Ladeairous | Physical Therapist | 924 W Custer Ave, Pontiac, IL 61764-1067 | 2006-05-25 |
| 1790730166 | Physical Therapy Associates, LLC | Physical Therapist | 924 W Custer Ave, Pontiac, IL 61764-1067 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
| 1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| Find all providers in zip 61764 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013402304 | Get Well Physical Therapy LLC | Clinic/Center | 161 S Telegraph Rd, Pontiac, MI 48341-1939 | 2018-06-28 |
| 1023028149 | Accurate Physical Therapy Inc | Clinic/Center | 131 University Dr, Pontiac, MI 48342-2369 | 2006-08-09 |
| 1639618267 | Physical Therapy Management Mi LLC | Clinic/Center | 461 W Huron St, Suite # G70, Pontiac, MI 48341-1601 | 2017-02-15 |
| 1528091246 | Occupational Health Centers of Michigan, P.C. | Clinic/Center | 1915 N Perry St, Pontiac, MI 48340-2237 | 2006-07-08 |
| 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.