CHAMPION PHYSICAL THERAPY, LLC (NPI# 1851999155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851999155 |
| Entity Type | Organization |
| Organization Name | CHAMPION PHYSICAL THERAPY, LLC |
| Practice Address |
11719 Chapman Hwy Ste 104 Seymour TN 37865-5264 |
| Mailing Address |
1110 Shawnee Rd Lima OH 45805-3529 |
| Practice Telephone | 8657730480 |
| Practice Fax Number | 8657730470 |
| Mailing Telephone | 4192216717 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | MR. BRAD C. ROUSH (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4192216712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CORA Physical Therapy - Seymour | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151777 | Champion Physical Therapy, LLC | Clinic/Center | 109 Sugarfoot Way # 5, Pigeon Forge, TN 37863-6204 | 2020-10-09 |
| 1124645684 | Champion Physical Therapy, LLC | Physical Therapist | 901 Lakeland Pl Ste 9, Flowood, MS 39232-6633 | 2020-07-01 |
| Street Address |
11719 CHAPMAN HWY STE 104 |
| City | SEYMOUR |
| State | TN |
| Zip Code | 37865-5264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336796747 | Kellie Mccormack | Physical Therapist | 11719 Chapman Hwy Ste 104, Seymour, TN 37865-5264 | 2019-08-20 |
| 1396232781 | Champion Physical Therapy LLC Halls | Clinic/Center | 11719 Chapman Hwy Ste 104, Seymour, TN 37865-5264 | 2018-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790285492 | Southeast Behavioral Services | Behavioral Analyst | 10721 Chapman Hwy Ste 22, Seymour, TN 37865 | 2018-02-19 |
| 1932645884 | Emma Love Gilmartin | Physician Assistant | 11606 Chapman Hwy Ste 2, Seymour, TN 37865 | 2017-01-17 |
| 1295065209 | Angela Kay Phifer | Acupuncturist | 10339 Chapman Hwy, Unit 2, Seymour, TN 37865 | 2010-01-14 |
| 1154596286 | Southeast Oral Surgery PC | Dentist | 11548 Chapman Hwy, Seymour, TN 37865 | 2008-04-29 |
| 1639358278 | Marta Finnegan | Case Manager/Care Coordinator | 1016 I.c. King Rd, Seymour, TN 37865 | 2007-10-31 |
| 1053590695 | Mary D Headrick | Registered Nurse | 1016 I. C. King Rd, Brookhaven Retreat, Seymour, TN 37865 | 2007-10-31 |
| 1225217706 | Melissa L Blaque | Case Manager/Care Coordinator | 1016 I.c. King Rd., Brookhaven Retreat, Seymour, TN 37865 | 2007-10-31 |
| 1841479318 | Ilene L Graham | Licensed Practical Nurse | 1061 I.c. King Rd., Brookhaven Retreat, Seymour, TN 37865 | 2007-10-31 |
| 1851597272 | Bethany Ann Thomas | Dentist | 119 Maryville Highway, Suite B, Seymour, TN 37865 | 2007-06-22 |
| 1881800175 | Eric D Lee | Pharmacist | 1125 Creekside Village Way, Seymour, TN 37865 | 2007-05-15 |
| Find all providers in zip 37865 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396232781 | Champion Physical Therapy LLC Halls | Clinic/Center | 11719 Chapman Hwy Ste 104, Seymour, TN 37865-5264 | 2018-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151777 | Champion Physical Therapy, LLC | Clinic/Center | 109 Sugarfoot Way # 5, Pigeon Forge, TN 37863-6204 | 2020-10-09 |
| 1417588401 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 365 S Hartmann Dr Ste 102, Lebanon, TN 37087-4788 | 2020-01-29 |
| 1497396311 | Champion Physical Therapy LLC Halls | Clinic/Center | 4442 Frontage Rd Nw Unit 1, Cleveland, TN 37312-2903 | 2019-10-02 |
| 1205484805 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 4572 Poplar Ave, Memphis, TN 38117-7514 | 2019-08-28 |
| 1588228662 | Catalyst Physical Therapy and Performance, LLC | Clinic/Center | 1056 E Trinity Ln # 104, Nashville, TN 37216-3030 | 2019-04-24 |
| 1790247724 | Treehouse Therapy, Pllc | Clinic/Center | 7 Fireside Way, Signal Mountain, TN 37377-2019 | 2019-03-31 |
| 1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
| 1083101448 | Champion Physical Therapy LLC Halls | Clinic/Center | 4307 N Roan St Ste 7, Johnson City, TN 37615-4973 | 2018-04-20 |
| 1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
| 1083101463 | Champion Physical Therapy LLC Halls | Clinic/Center | 109 Sugarfoot Way Ste 5, Pigeon Forge, TN 37863-6204 | 2018-04-20 |
| 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.