NPIMap

Organization Active NPI

Champion Sports Medicine

  • Physical Therapy Clinic/Center
  • Hueytown, AL
National Provider Identifier
1588063986
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTH7300 Issued in AL
Legal business name
CHAMPION SPORTS MEDICINE
Practice address
3014 Allison Bonnett Memorial Dr Ste 144
Hueytown, AL 35023-2394
Phone
(205) 744-9444
NPI assigned
Aug 21, 2014
Last updated
Aug 21, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSIOTHERAPY ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Aaron Joseph Poirier, DPTNPI 1023418324
Title
Physical Therapist
Phone
(734) 625-2921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTH7300 AL Primary

Addresses

Primary practice location

3014 Allison Bonnett Memorial Dr Ste 144
Hueytown, AL 35023-2394

Mailing address

700 Summit PL
Birmingham, AL 35243-3114

National Provider Directory

National Provider Directory
Tax ID family
Champion Sports Medicine12 organizations share this tax ID, including this one
Part of
Champion Sports Medicine

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3014 Allison Bonnett Memorial Dr
Ste 144
Hueytown, AL 35023
Phone (205) 744-9444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1588063986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SUMMIT PL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 ALLISON BONNETT MEMORIAL DR STE 144",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232394",
            "telephone_number": "205-744-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION SPORTS MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSIOTHERAPY ASSOCIATES",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "POIRIER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "734-625-2921",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": "PTH7300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hueytown, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.