Seth Robert Champlin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-6711 Issued in ID

Practice address

3035 W McMillan Rd Ste 104
Meridian, ID 83646-6292

Phone

(208) 887-8684

NPI assigned

Jun 23, 2020

Last updated

Jun 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1679199921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 N 3300 E",
            "city": "KIMBERLY",
            "state": "ID",
            "postal_code": "833415051",
            "telephone_number": "208-539-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 W MCMILLAN RD STE 104",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466292",
            "telephone_number": "208-887-8684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 N 3300 E",
            "address_purpose": "LOCATION",
            "city": "Kimberly",
            "state": "ID",
            "postal_code": "833415051",
            "country_code": "US",
            "telephone_number": "208-539-2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMPLIN",
        "first_name": "SETH",
        "middle_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-6711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad a. Morse, M.D., Chartered
• Brionne Porter Chamberlain, LMFT
• Stephen Chamberlain, PHARMD
• Jamie Rae Champion, P.H.D.
• Eric Jonn Champlin, LMSW
• Rylan Chan, PAC
• Noah C Chance
• David CHI Chang, MD
• Change Academy at Lake of the Ozarks
• Chatterbox Speech & Language Center

• Physical Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.