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
3476818519The PECOS associate control ID: one enrolled organization, which may hold several NPIs
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 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 4 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
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 Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 46

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (43).

Sources for this page