Champion Sports Medicine Birmingham, LLC

A Medicare group practice based in Gardendale, AL: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 4880082429), with 193 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4880082429The 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
AL
Enrollments
2
Group size
180 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 6 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20220128000401 AL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1346813516
O20211101000761 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1346813516

NPIs in this group 6

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 193

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (180).

Sources for this page