Champion Physical Therapy Kentucky, LLC
A Medicare group practice based in Somerset, KY: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 3476818519), with 46 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3476818519
- Provider type
- Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services, Part B Supplier - Physical/Occupational Therapy Group in Private Practice
- Enrolled in
- KY
- Enrollments
- 3
- Group size
- 43 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20180521001371 | KY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1720589724 |
| O20190520000641 | KY | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 1689150682 |
| O20190329000240 | KY | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 1588140586 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Champion Physical Therapy Kentucky, LLC
- Rehabilitation Clinic/Center
- Pineville, KY
- NPI 1588140586
-
Champion Physical Therapy Kentucky, LLC
- Rehabilitation Clinic/Center
- Somerset, KY
- NPI 1689150682
-
Champion Physical Therapy Kentucky, LLC
- Rehabilitation Clinic/Center
- Middlesboro, KY
- NPI 1720589724
-
Champion Physical Therapy Kentucky LLC
- Rehabilitation Clinic/Center
- Corbin, KY
- NPI 1568001493
Practice locations
- Somerset, KY2
- Pineville, KY1
- Middlesboro, KY1
- Corbin, KY1
Clinicians 46
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (43).
-
Mohammad Afzal, MD
- Internal Medicine Physician
- Somerset, KY
- NPI 1245329069
-
Nathaniel Beachy, M.D.
- Clinical Neurophysiology Physician
- Louisville, KY
- NPI 1992238646
-
John William Biery Jr., APRN
- Primary Care Nurse Practitioner
- Lexington, KY
- NPI 1578933883
-
Joseph Clay Brown, M.D.
- Internal Medicine Physician
- Monticello, KY
- NPI 1619295540
-
Mark Samuel Burch, PA-C
- Physician Assistant
- Lexington, KY
- NPI 1649692765
-
Timothy Butcher
- Physical Therapist
- Knoxville, TN
- NPI 1013024272
-
Anjum Bux, M.D.
- Pain Medicine (Anesthesiology) Physician
- Danville, KY
- NPI 1235162991
-
Thuresa S. Cash, APRN
- Family Nurse Practitioner
- Whitley City, KY
- NPI 1659511103
-
Celeste A Christensen, PA-C
- Physician Assistant
- Lexington, KY
- NPI 1992753511
-
Alisha J Cooley, APRN
- Family Nurse Practitioner
- Somerset, KY
- NPI 1851699060
-
James T Corum Jr., PHYSICAL THERAPIST
- Physical Therapist
- Middlesboro, KY
- NPI 1790075745
-
Vincent Angelo Depalma, D.O.
- Orthopaedic Surgery of the Spine Physician
- London, KY
- NPI 1295155927
-
Blake Dixon, DO
- Family Medicine Physician
- Somerset, KY
- NPI 1033772199
-
Stefanie Dolen, D.O.
- Internal Medicine Physician
- Monticello, KY
- NPI 1003229220
-
Robert G Drake Jr., MD
- Family Medicine Physician
- Somerset, KY
- NPI 1528151685
-
Jason S Harrod, DPM
- Foot & Ankle Surgery Podiatrist
- Lexington, KY
- NPI 1245256270
-
Pennie Christine Haste
- Primary Care Nurse Practitioner
- Somerset, KY
- NPI 1922730605
-
Michelle Hendrix, PA
- Physician Assistant
- Lexington, KY
- NPI 1629533310
-
Robert Gregg Hosey, MD
- Sports Medicine (Family Medicine) Physician
- Lexington, KY
- NPI 1730285321
-
Steven House, MD
- Family Medicine Physician
- Glasgow, KY
- NPI 1730155003
-
Jason R Hubbard, MD
- Neurological Surgery Physician
- Nashville, TN
- NPI 1427028695
-
Wallace L. Huff Jr., MD
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1184619314
-
Stephanie Canada Hutchinson, ARNP
- Family Nurse Practitioner
- Barbourville, KY
- NPI 1154640357
-
August Rae Igo, PA-C
- Physician Assistant
- London, KY
- NPI 1699399949
-
Robert Paul Knetsche, M.D.
- Orthopaedic Surgery of the Spine Physician
- Danville, KY
- NPI 1891805982
-
Matthew Kuhl, APRN
- Nurse Practitioner
- Lexington, KY
- NPI 1194265827
-
Denita K McDonald, APRN
- Family Nurse Practitioner
- Somerset, KY
- NPI 1881662781
-
Cara E Michaelsen, PA-C
- Physician Assistant
- Lexington, KY
- NPI 1083965024
-
Yasser A Nadim, M.D.
- Orthopaedic Surgery Physician
- Somerset, KY
- NPI 1477505634
-
William L O'Neill Jr., M.D.
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1851385140
-
Jesse William Pace, DO
- Family Medicine Physician
- Old Fort, NC
- NPI 1598027765
-
Anne Hui Pedersen, P.T.
- Physical Therapist
- Barbourville, KY
- NPI 1386620938
-
Jacob Rizkalla, DPM
- Foot & Ankle Surgery Podiatrist
- Somerset, KY
- NPI 1134784978
-
Juawanna L Schuller, ARNP
- Nurse Practitioner
- Lexington, KY
- NPI 1528036100
-
Leslie Ellen Schwindel, M.D.
- Orthopaedic Surgery Physician
- Cynthiana, KY
- NPI 1720215254
-
Kristie Lynn Short, APRN FNP-C
- Family Nurse Practitioner
- Somerset, KY
- NPI 1457047524
-
Jaysie Smith, DO
- Family Medicine Physician
- Somerset, KY
- NPI 1477294031
-
Nathaniel Edward Stearns, APRN
- Nurse Practitioner
- Nancy, KY
- NPI 1871314658
-
Julie Stevens, APRN
- Family Nurse Practitioner
- Somerset, KY
- NPI 1437549458
-
Anthony John Stugan, M.D.
- Internal Medicine Physician
- Somerset, KY
- NPI 1700800844
-
Richard Zackary Unger, M.D.
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1902211832
-
Katherine A Walters, PA
- Surgical Physician Assistant
- Cincinnati, OH
- NPI 1699071787
-
Benjamin Weisenthal, M.D.
- Orthopaedic Surgery Physician
- Knoxville, TN
- NPI 1487041661
-
Lacy Lee Wethington, APRN
- Family Nurse Practitioner
- Columbia, KY
- NPI 1992564843
-
Jared K Wilson, M.D.
- Family Medicine Physician
- Liberty, KY
- NPI 1902876667
-
Daniel Robert Yanicko Jr., MD
- Orthopaedic Surgery Physician
- Somerset, KY
- NPI 1598731796
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.