Champion Physical Therapy and Performance, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHAMPION PHYSICAL THERAPY AND PERFORMANCE, INC

Practice address

108 Clematis Ave Ste a
Waltham, MA 02453-7040

Phone

(617) 992-2984

NPI assigned

Jun 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael Reinold, PT

Title

President

Phone

(617) 992-2984

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1649683202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CLEMATIS AVE STE A",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024537040",
            "telephone_number": "617-992-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CLEMATIS AVE STE A",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024537040",
            "telephone_number": "617-992-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION PHYSICAL THERAPY AND PERFORMANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "REINOLD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-992-2984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celticare Health Plan of Massachusetts, Inc.
• Center for Integrative Health
• Zoe Cervera
• Hana Chahid
• Stanley Chalvire
• Cynthia Chan, RPH
• Samantha Chan
• Cynthia Chang, PHARMD
• Michael Chang, DMD
• Peter Yuwei Chang, M.D.

• Community/Behavioral Health Agency in Waltham, MA
• Providers in Waltham, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.