Organization Active NPI

Champion Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Glendale, CA
National Provider Identifier
1225811342
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CHAMPION PHYSICAL THERAPY, INC.
Practice address
3436 N Verdugo Rd Ste 102
Glendale, CA 91208-1546
Phone
(310) 854-9314
NPI assigned
Aug 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Mrs. Meline Kartalian Abrahamains, DPT
Title
Ceo
Phone
(310) 854-2618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3436 N Verdugo Rd Ste 102
Glendale, CA 91208-1546

Mailing address

3436 N Verdugo Rd Ste 102
Glendale, CA 91208-1546
Phone (310) 854-9314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231106000291 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729435227 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

3436 N Verdugo Rd
Ste 102
Glendale, CA 91208
Phone (818) 482-5852

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1225811342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 N VERDUGO RD STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081546",
            "telephone_number": "310-854-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 N VERDUGO RD STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081546",
            "telephone_number": "310-854-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMAINS",
        "authorized_official_first_name": "MELINE",
        "authorized_official_middle_name": "KARTALIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-854-2618",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.