Annmarie Champagne, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01349500 Issued in NJ

Practice address

21 Philips Pkwy
Montvale, NJ 07645-1849

Phone

(201) 930-8700

Fax

(201) 930-8730

NPI assigned

Jul 9, 2010

Last updated

Jul 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Madison Physical Therapy Limited Partnership

  • Physical Therapist
  • Old Tappan, NJ
  • NPI 1053687566
  NPD (past)
• Madison PT of New Jersey, PC

  • Physical Therapist
  • Westwood, NJ
  • NPI 1740369347
  NPD (past)
• Madison Spine and Physicaltherapy, Inc.

  • Physical Therapist
  • New Milford, NJ
  • NPI 1063591659
  NPD (past)
• Madison Spine Limited Partnership

  • Physical Therapist
  • New Milford, NJ
  • NPI 1689940900
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1215249990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PHILIPS PKWY",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451849",
            "telephone_number": "201-930-8700",
            "fax_number": "201-930-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PHILIPS PKWY",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451849",
            "telephone_number": "201-930-8700",
            "fax_number": "201-930-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "ANNMARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01349500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Jean Carpenter
• Deirdre B. Casey, MSN, RN, AGACNP-BC
• Patricia A Cavanna, RNFA
• Center for Resiliency, LLC
• Cesswell LLC
• Thomas A Chapman, DMD
• Chester Medical Supplies LLC
• Children's Aid and Family Services, Inc.
• Dae Choi
• Carol Chu-Peralta, PHD

• Physical Therapist in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.