Champion Physical Therapy LLC Halls

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CHAMPION PHYSICAL THERAPY LLC HALLS

Doing business as

CORA Physical Therapy - Kingsport

Practice address

1732 N Eastman Rd Ste 1a
Kingsport, TN 37664-2376

Phone

(423) 390-8948

Fax

(423) 390-8949

NPI assigned

Apr 20, 2018

Last updated

Mar 6, 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

Steve Krzyminski

Title

Exec VP

Phone

(419) 221-6717

Specialties & licenses 1

Addresses

Other names 1

• CORA Physical Therapy - Kingsport Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 5

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

• Champion Physical Therapy LLC Halls

  • Rehabilitation Clinic/Center
  • Knoxville, TN
  • NPI 1073771564

  O20120619000128, O20180831000739

  Same enrollment
• Champion Physical Therapy LLC Halls

  dba CORA Physical Therapy - Johnson City

  • Rehabilitation Clinic/Center
  • Johnson City, TN
  • NPI 1083101448

  O20180831000739

  Same enrollment
• Champion Physical Therapy LLC Halls

  dba CORA Physical Therapy - White Pine

  • Rehabilitation Clinic/Center
  • White Pine, TN
  • NPI 1285121673

  O20120619000128

  Same enrollment
• Champion Physical Therapy LLC Halls

  dba CORA Physical Therapy - Bristol

  • Rehabilitation Clinic/Center
  • Bristol, TN
  • NPI 1316434764

  O20180831000739

  Same enrollment
• Champion Physical Therapy LLC Halls

  dba CORA Physical Therapy - Elizabethton

  • Rehabilitation Clinic/Center
  • Elizabethton, TN
  • NPI 1841787207

  O20180831000739

  Same enrollment

Locations

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1528555992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458020150",
            "telephone_number": "419-221-6717",
            "fax_number": "419-222-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 N EASTMAN RD STE 1A",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642376",
            "telephone_number": "423-390-8948",
            "fax_number": "423-390-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION PHYSICAL THERAPY LLC HALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "KRZYMINSKI",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "EXEC VP",
        "authorized_official_telephone_number": "419-221-6717"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORA Physical Therapy - Kingsport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Danielle Chafin, MSN-FNP
• Kanishka Chakraborty, M.D
• Marian L Chamberlin, MD
• Bonita Chambers, RDMS, RT-R
• Ronald Ernest Chambers, DC
• Sarah Elizabeth Chandler
• John L Chapman, MD
• Richard E Chapman, PA
• Sherry Chapman
• Charles E Guest DDS PC

• Rehabilitation Clinic/Center in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.