Championship Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014305 Issued in NY

Legal business name

CHAMPIONSHIP PHYSICAL THERAPY PC

Practice address

314 E 1St St
East Syracuse, NY 13057-2927

Phone

(315) 439-8840

NPI assigned

Jun 20, 2008

Organization subpart

No

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

Authorized official

Name

Bradley R Pike, PT

Title

Sole Proprietor

Phone

(315) 439-8840

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher T Hall, PT

  • Physical Therapist
  • East Syracuse, NY
  • NPI 1104139849
  NPD (past)
• Sarah Catherine Talbot, DPT

  • Physical Therapist
  • East Syracuse, NY
  • NPI 1962662551
  NPD (past)

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1144481375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CROSSROADS PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883589",
            "telephone_number": "315-295-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E 1ST ST",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572927",
            "telephone_number": "315-439-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPIONSHIP PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "315-439-8840",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Racquel Catanzaritihvlassis, DMD
• Constance Caughey, NP
• Rachael Louise Cavelli, NP
• Katie Claire Cazzolli, NP
• Antonietta Chairmonte, LCSWR
• Margaret Chao, M.D.
• Michelle Chapman
• Rohini Singh Chatterjee, M.D.
• Richard C Cherny, M.D.
• Child Health Care Associates Practice of Pediatrics

• Physical Therapist in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.