CHAMPION FITNESS, INC (NPI# 1639565880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639565880 |
| Entity Type | Organization |
| Organization Name | CHAMPION FITNESS, INC |
| Practice Address |
5401 N Knoxville Ave Ste 117 Peoria IL 61614-5068 |
| Mailing Address |
924 W Custer Ave Pontiac IL 61764-1067 |
| Practice Telephone | 3098392272 |
| Practice Fax Number | 3099660704 |
| Mailing Telephone | 8158445411 |
| Mailing Fax Number | 8158445322 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-05-15 |
| 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 |
5401 N KNOXVILLE AVE STE 117 |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-5068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801837281 | Kimberly W Gaston | Chiropractor | 5401 N Knoxville Ave Ste 117, Peoria, IL 61614-5068 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518592351 | Foothills Sports Medicine & Physical Therapy - 91st Ave-olive | Clinic/Center | 9069 W Olive Ave Ste 105, Peoria, AZ 85345-9124 | 2020-03-11 |
| 1710487707 | Desert Edge Physical Therapy, LLC | Clinic/Center | 21391 N Lake Pleasant Pkwy Ste 1810, Peoria, AZ 85382-2000 | 2018-02-15 |
| 1609299494 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 8643 W Kelton Ln Ste 106, Peoria, AZ 85382-3505 | 2014-01-29 |
| 1578746392 | Smith Spine & Orthopaedic Physical Therapy, LLC | Clinic/Center | 8126 W Carlota Ln, Peoria, AZ 85383-2196 | 2007-12-15 |
| 1689853160 | Physiotherapy Associates | Clinic/Center | 16140 N Arrowhead Fountains Ctr Dr Ste 105, Peoria, AZ 85382-4789 | 2007-10-31 |
| 1003995606 | Physiotherapy Associates Inc | Clinic/Center | 16155 N 83rd Ave, Suite 105, Peoria, AZ 85382-5815 | 2006-11-03 |
| 1194733816 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 7400 W. Olive Avenue, Suite 1, Peoria, AZ 85345 | 2006-08-04 |
| 1730592809 | Matthew George Zanis | Clinic/Center | 9745 W Happy Valley Rd, Peoria, AZ 85383-1241 | 2014-06-06 |
| 1841638228 | Lisenby Physical Therapy for Women, Inc. | Clinic/Center | 5009 N Executive Dr Ste B, Peoria, IL 61614 | 2013-06-07 |
| 1396099552 | Pt Active Care, Pllc | Clinic/Center | 8914 N 91st Ave, Peoria, AZ 85345-8390 | 2012-11-08 |
| Find all providers in PEORIA | ||||
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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.