Champion Fitness, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CHAMPION FITNESS, INC

Practice address

1300 E. US Highway 40
Casey, IL 62420

Phone

(217) 932-2100

Fax

(217) 932-2115

NPI assigned

Sep 1, 2016

Organization subpart

Yes

Parent organization

CHAMPION FITNESS, INCAs reported in NPPES

Name

Michael Cohlman

Title

Ceo

Phone

(815) 844-5411

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Champion Fitness Inc

  • Physical Therapy Clinic/Center
  • Pontiac, IL
  • NPI 1407801012
  NPPES parent name

Part of

Champion Fitness

Locations

• CF Physical Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 1, 2016.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1609322296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 W CUSTER AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641067",
            "telephone_number": "815-844-5411",
            "fax_number": "815-844-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E. US HIGHWAY 40",
            "city": "CASEY",
            "state": "IL",
            "postal_code": "62420",
            "telephone_number": "217-932-2100",
            "fax_number": "217-932-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION FITNESS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAMPION FITNESS, INC",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "COHLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-844-5411"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CF Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Family Medical Center, Inc.
• Casey Hco, LLC
• Casey Hco, LLC
• Casey Rehab and Nursing LLC
• Casey Westfield Community Unit School District C-4
• Clark Cochonour
• Gena Cochonour
• Lyn Michele Cochonour
• Katherine Disch
• Robert Lee Dougherty, PA-C

• All providers in Casey, IL
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.