Champion Sports Performance and Life Wellness LLC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

CHAMPION SPORTS PERFORMANCE AND LIFE WELLNESS LLC

Practice address

180 Route 70
Medford, NJ 08055-8703

Phone

(609) 442-1212

Fax

(609) 714-9194

NPI assigned

Mar 4, 2024

Last updated

Mar 4, 2024By 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

Mr. Rudolph Francis Christopher III, PT, MPT

Title

Owner

Phone

(609) 442-1212

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1174380471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RAMS GATE CT",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559704",
            "telephone_number": "609-442-1212",
            "fax_number": "609-714-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ROUTE 70",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558703",
            "telephone_number": "609-442-1212",
            "fax_number": "609-714-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION SPORTS PERFORMANCE AND LIFE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-442-1212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT, MPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Counseling and Education of Medford
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• Emily Cerimele
• Chairville Counseling
• Champion Physical Therapy and Performance LLC
• Charles P Waitz PHD
• Cherry Hill ASC LLC
• Cheryl M Mitchell MD PC
• Alena Chilinski, MA
• Rudolph Francis Christopher, MPT

• Sports Physical Therapist in Medford, NJ
• Providers in Medford, NJ by specialty
• Sports Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.