CHAMPION FITNESS, INC (NPI# 1760936991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760936991 |
| Entity Type | Organization |
| Organization Name | CHAMPION FITNESS, INC |
| Other Organization Name | CF PHYSICAL THERAPY |
| Practice Address |
605 E Southline Rd Tuscola IL 61953-2053 |
| Mailing Address |
924 W Custer Ave Pontiac IL 61764-1067 |
| Practice Telephone | 2172539100 |
| Practice Fax Number | 2172539103 |
| Mailing Telephone | 8158445411 |
| Mailing Fax Number | 8158445322 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |
| 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 |
| 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 |
| 1164976387 | Champion Fitness, Inc | Clinic/Center | 815 N Main St, Flora, IL 62839-1033 | 2016-08-04 |
| Street Address |
605 E SOUTHLINE RD |
| City | TUSCOLA |
| State | IL |
| Zip Code | 61953-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942484233 | Elizabeth Bischoff | Physical Therapist | 605 E Southline Rd, Tuscola, IL 61953-2053 | 2007-12-21 |
| 1992304158 | Tinsu Joseph | Physical Therapist | 605 E Southline Rd, Tuscola, IL 61953-2053 | 2020-10-20 |
| 1316451743 | Mandi Miller | Physical Therapist | 605 E Southline Rd, Tuscola, IL 61953-2053 | 2017-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336545581 | Paul H. Byron | Hearing Instrument Specialist | 602 E. Southline Road, Audibel Hearing Aids, Tuscola, IL 61953 | 2014-11-17 |
| 1679851232 | Beth Ann Wiessing | Speech-Language Pathologist | 1601 East County Road 850 North, Tuscola, IL 61953 | 2011-08-01 |
| 1538356480 | Bart M Tate | Physical Therapist | 301 East Southline Rd, Tuscola, IL 61953 | 2007-09-25 |
| 1972724979 | Kimberly B Whitaker | Family Medicine | 1100 Tuscola Blvd, Sbl Tuscola Clinic, Tuscola, IL 61953 | 2007-05-01 |
| 1396856688 | Tuscola Pain & Wellness Center Sc | Chiropractor | 902 S Court Suite 2, Tuscola, IL 61953 | 2006-08-31 |
| 1225089626 | Nathan L Roberts | Family Medicine | 301 E. Southline Road, Tuscola, IL 61953 | 2006-05-12 |
| 1326008137 | Jamison T Boyd | Optometrist | 902 S Court St, Suite #1, Tuscola, IL 61953 | 2006-03-24 |
| 1629405907 | Ashley K Tennill | Nurse Practitioner | 1100 Tuscola Blvd, Sbl Tuscola Walk In Clinic, Tuscola, IL 61953 | 2013-10-02 |
| 1487892865 | Swarnalatha Jaliparthi | Family Medicine | 301 E. Southline Road, Tuscola, IL 61953 | 2009-01-23 |
| 1295834901 | Sally J Salmons | Family Medicine | 301 E. Southline Road, Tuscola, IL 61953 | 2006-09-21 |
| Find all providers in zip 61953 | ||||
| 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.