Champion Therapy Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1782 Issued in NC

Legal business name

CHAMPION THERAPY SERVICES

Practice address

501 Brownbark LN
Gibsonville, NC 27249-2761

Phone

(336) 213-3352

Fax

(336) 446-4206

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Carter Champion, MS, CCC,SLPNPI 1760518948

Title

Owner

Phone

(336) 446-4206

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Cynthia Carter Champion, MS, CCC, SLP

  • Speech-Language Pathologist
  • Gibsonville, NC
  • NPI 1760518948
  NPD (past) Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578610770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BROWNBARK LN",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272492761",
            "telephone_number": "336-213-3352",
            "fax_number": "336-446-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BROWNBARK LN",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272492761",
            "telephone_number": "336-213-3352",
            "fax_number": "336-446-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-446-4206",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CCC,SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412405",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211827",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Gibsonville, NC
• Providers in Gibsonville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.