Champion Sports Medicine Birmingham, LLC.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CHAMPION SPORTS MEDICINE BIRMINGHAM, LLC.

Practice address

1021 Montgomery Hwy Ste 200
Vestavia Hills, AL 35216-2805

Phone

(205) 882-6990

NPI assigned

Jul 23, 2021

Organization subpart

Yes

Parent organization

SELECT MEDICAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

John F Duggan

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other names 1

• Champion Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

Outpatient physical therapy / speech pathology certification: CCN 016593

Legal name

CHAMPION SPORTS MEDICINE - GRANDVIEW HEALTH

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Jun 4, 2003

Last certification

Dec 16, 2021

Ownership / control type

Proprietary

Facility address

1021 Montgomery Hwy
Vestavia Hills, AL 35216

Other NPIs on the same Medicare enrollment 5

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

• Champion Sports Medicine Birmingham, LLC.

  • Physical Therapy Clinic/Center
  • Gardendale, AL
  • NPI 1346813516

  O20211101000761, O20220128000401

  Same enrollment
• Champion Sports Medicine Birmingham, LLC.

  • Physical Therapy Clinic/Center
  • Hueytown, AL
  • NPI 1386244341

  O20211101000761, O20220128000401

  Same enrollment
• Champion Sports Medicine Birmingham, LLC.

  • Physical Therapy Clinic/Center
  • Birmingham, AL
  • NPI 1477128718

  O20211101000761, O20220128000401

  Same enrollment
• Champion Sports Medicine Birmingham, LLC.

  • Physical Therapy Clinic/Center
  • Hoover, AL
  • NPI 1659985711

  O20211101000761, O20220128000401

  Same enrollment
• Champion Sports Medicine Birmingham, LLC.

  • Physical Therapy Clinic/Center
  • Vestavia, AL
  • NPI 1932865763

  O20211101000761, O20220128000401

  Same enrollment

Part of

Select Medical Corporation

Practitioners 4

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

• Michael Bagwell, PT, DPT

  • Physical Therapist
  • Birmingham, AL
  • NPI 1184062895
  NPD
• Joshua Dabbs, DPT

  • Physical Therapist
  • Hueytown, AL
  • NPI 1013450998
  NPD
• Jared Dobbins, DPT

  • Physical Therapist
  • Hoover, AL
  • NPI 1154760767
  NPD
• Donna Goodwin, MS, PT, MOMT

  • Physical Therapist
  • Birmingham, AL
  • NPI 1700982253
  NPD

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1194398362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MONTGOMERY HWY STE 200",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162805",
            "telephone_number": "205-882-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION SPORTS MEDICINE BIRMINGHAM, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELECT MEDICAL CORPORATION",
        "enumeration_date": "2021-07-23",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Champion Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julian Orlando Simon Carlo, MD
• John Collin Carr, PA-C
• Carver Counseling Services
• Kathleen Cassidy, RBT
• Macy Cates
• Rachel Lyn Chickvara, ALC
• Child Psychological Services, Inc.
• Holly M Church, R.PH.
• Lindsey Nicole Clark Ward, M.D.
• Jordan Laxson Clarke

• Physical Therapy Clinic/Center in Vestavia Hills, AL
• Providers in Vestavia Hills, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.