Jennifer K. Champa, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

32283 Issued in CA

Practice address

3948 Wilshire Blvd Ste 200
Los Angeles, CA 90010-3303

Phone

(323) 289-8601

Fax

(323) 289-8603

NPI assigned

May 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellmate Dr Lee Chiropractic Clinic IncGroup PAC ID 2769876143, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dy Care Rehabilitation Therapy,Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1093145849
  Medicare reassignment NPD Authorized official
• Wellmate Dr Lee Chiropractic Clinic Inc

  • Chiropractor
  • Los Angeles, CA
  • NPI 1821607268
  Medicare reassignment Care Compare group NPD
• Moon Chiropractic Group, Inc

  • Rehabilitation Chiropractor
  • Los Angeles, CA
  • NPI 1952667065
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1144487190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S LAMAR BLVD APT 413",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041094",
            "telephone_number": "512-671-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 WILSHIRE BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103303",
            "telephone_number": "323-289-8601",
            "fax_number": "323-289-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPA",
        "first_name": "JENNIFER",
        "middle_name": "K.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "114292",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Chamorro
• Patricia Elena Chamorro, AGNP
• Michael Chamoun, PT
• Priscilla Chamoun
• Siobhan Chamoun
• Kim Teri Champagne, RCP
• Philip Champagne
• Philippe Champagne, M.D.
• Champion Medical Group
• Champion Medical Group, a Medical Corporation

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.