Champion Physical Therapy LLC Halls
Organization Active NPI Rehabilitation Clinic/Center · Alcoa, TN
NPI 1013404516 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1013404516
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- CHAMPION PHYSICAL THERAPY LLC HALLS
- Practice address
- 121 N Calderwood St
Alcoa, TN 37701-2109 - Phone
- (865) 336-9188
- Fax
- (865) 336-9189
- NPI assigned
- Apr 19, 2018
- Organization subpart
- No
Authorized official
- Name
- Stephen Krzyminski
- Title
- Executive Vice President
- Phone
- (419) 221-6717
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 2
Practitioners 2
-
Philip Matthew Jenkins, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181003001490 | TN | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 1355416306 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alcoa, TN; Athens, TN; Cleveland, TN |
National Provider Directory
- Tax ID family
- Associated Therapeutics
Locations
121 N Calderwood St
Alcoa, TN 37701
Phone (865) 336-9188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | TN | Yes |
Addresses
Primary practice location
121 N Calderwood St
Alcoa, TN 37701-2109
Mailing address
PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717
Other names
- CORA Physical Therapy - Alcoa
Other providers in Alcoa, TN
- Keith E. Campbell
- Caytlin Grae Cardwell
- Heather Cash
- Lewis Roger Cass
- Russell George Chambers
- Brynn Schuyler Chavira
- Cherokee Health Systems
- Cherokee Health Systems
- Janey Chon
- Chuc, LLC
All providers in Alcoa, TN · Rehabilitation Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.