CHAMPION FITNESS, INC (NPI# 1609322296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609322296 |
| Entity Type | Organization |
| Organization Name | CHAMPION FITNESS, INC |
| Other Organization Name | CF PHYSICAL THERAPY |
| Practice Address |
1300 E. Us Highway 40 Casey IL 62420 |
| Mailing Address |
924 W Custer Ave Pontiac IL 61764-1067 |
| Practice Telephone | 2179322100 |
| Practice Fax Number | 2179322115 |
| Mailing Telephone | 8158445411 |
| Mailing Fax Number | 8158445322 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| 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 |
| Other Name | Type Code |
|---|---|
| CF Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225584816 | Champion Fitness, Inc | Clinic/Center | 947 Jackson Plaza, Morton, IL 61550-1567 | 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 |
| 1164976387 | Champion Fitness, Inc | Clinic/Center | 815 N Main St, Flora, IL 62839-1033 | 2016-08-04 |
| Street Address |
1300 E. US HIGHWAY 40 |
| City | CASEY |
| State | IL |
| Zip Code | 62420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801089263 | Cory D Hanley | Physical Therapist | 1300 E Us Highway 40, Casey, IL 62420 | 2007-08-20 |
| 1528186665 | Sarah Bush Lincoln Health Center | Clinic/Center | 934 North Route 49, Casey, IL 62420 | 2007-03-27 |
| 1861499006 | Heartland Manor Inc Nursing Center | Skilled Nursing Facility | 410 N W Third Street, Casey, IL 62420 | 2005-07-01 |
| 1386124675 | Daniel Yi-li Wen | Dentist | 1400 E Main St, Casey, IL 62420 | 2018-08-16 |
| 1831228600 | Patrick M Niebrugge | Optometrist | 1279 E Us Hwy 40, Casey, IL 62420-0528 | 2007-03-05 |
| 1962696617 | Patrick Niebrugge Od | Durable Medical Equipment & Medical Supplies | 1279 E Us Hwy 40, Casey, IL 62420-0528 | 2007-09-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| 1891787529 | Robert Lee Dougherty | Physician Assistant | 412 Nw 3rd St, Casey, IL 62420-1014 | 2005-08-18 |
| 1952874075 | Scott E Stout | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| 1538166137 | Moore Family Stores Inc. | Pharmacy | 202 W Edgar Ave, Casey, IL 62420-1024 | 2005-06-28 |
| Find all providers in zip 62420 | ||||
| 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.