Champion Physical Therapy LLC Halls

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CHAMPION PHYSICAL THERAPY LLC HALLS

Doing business as

CORA Physical Therapy - Alcoa

Practice address

121 N Calderwood St
Alcoa, TN 37701-2109

Phone

(865) 336-9188

Fax

(865) 336-9189

NPI assigned

Apr 19, 2018

Last updated

Oct 17, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen Krzyminski

Title

Executive Vice President

Phone

(419) 221-6717

Specialties & licenses 1

Addresses

Other names 1

• CORA Physical Therapy - Alcoa Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Champion Physical Therapy LLC Halls

  dba CORA Physical Therapy - Cleveland

  • Rehabilitation Clinic/Center
  • Cleveland, TN
  • NPI 1497396311

  O20181003001490

  Same enrollment
• Champion Physical Therapy LLC Halls

  dba CORA Physical Therapy - Athens

  • Rehabilitation Clinic/Center
  • Athens, TN
  • NPI 1558858902

  O20181003001490

  Same enrollment
• Champion Physical Therapy LLC Halls

  dba CORA Physical Therapy - Harriman

  • Rehabilitation Clinic/Center
  • Harriman, TN
  • NPI 1922595388

  O20181003001490

  Same enrollment

Tax ID family

Associated Therapeutics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Associated Therapeutics, Inc.

  dba CORA Physical Therapy - Clinton

  • Rehabilitation Clinic/Center
  • Clinton, TN
  • NPI 1154803088
  NPD tax ID
• Associated Therapeutics, Inc.

  dba CORA Physical Therapy - North Knoxville

  • Rehabilitation Clinic/Center
  • Knoxville, TN
  • NPI 1558452672
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Butcher

  • Physical Therapist
  • Knoxville, TN
  • NPI 1013024272
  NPD (past)
• Philip Matthew Jenkins, PT, DPT

  • Physical Therapist
  • Knoxville, TN
  • NPI 1952184723
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1013404516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458020150",
            "telephone_number": "419-221-6717",
            "fax_number": "419-222-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N CALDERWOOD ST",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012109",
            "telephone_number": "865-336-9188",
            "fax_number": "865-336-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION PHYSICAL THERAPY LLC HALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "KRZYMINSKI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "419-221-6717"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORA Physical Therapy - Alcoa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith E. Campbell, MD
• Caytlin Grae Cardwell, FNP-BC
• Heather Cash, M.D.
• Lewis Roger Cass, PHARMACIST
• Russell George Chambers, DDS
• Brynn Schuyler Chavira, BS
• Cherokee Health Systems (River Valley Health Alcoa Pharmacy)
• Cherokee Health Systems (River Valley Health)
• Janey Chon, DMD
• Chuc, LLC (Covenant Health Urgent Care)

• Rehabilitation Clinic/Center in Alcoa, TN
• Providers in Alcoa, TN by specialty
• Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.