Champion Physical Therapy and Fitness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

05006312A Issued in IN

Legal business name

CHAMPION PHYSICAL THERAPY AND FITNESS

Practice address

65 E Garner Rd Ste 100
Brownsburg, IN 46112-7867

Phone

(317) 797-4797

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Douglas P. Wyneken, PT

Title

President/Secretary

Phone

(317) 797-4797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1457530149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 COBBLESTONE PL",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239422",
            "telephone_number": "317-797-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E GARNER RD STE 100",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127867",
            "telephone_number": "317-797-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION PHYSICAL THERAPY AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "WYNEKEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "317-797-4797",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05006312A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Cash, RBT
• Kimberly A Casteel, NP
• Central Indiana Orthodontics, Inc.
• Raquel Cervantes, BCBA
• Ella Chambers, RBT
• Allyson Champlin
• Kimberly Suzanne Chapman
• Peter Leslie Chapman, D.D.S., M.S.D.
• Christina Charles
• Neha Chauhan, O.D

• Physical Therapy Clinic/Center in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.