Brian Michael Champagne, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

L1997023 Issued in MI

Practice address

3707 Katalin CT
Bay City, MI 48706-2161

Phone

(989) 439-1102

Fax

(989) 439-1104

NPI assigned

Aug 29, 2013

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Riversbend Rehabilitation Inc

  • Rehabilitation Clinic/Center
  • Bay City, MI
  • NPI 1013152206
  NPD (past)

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1710311477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 KATALIN CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062161",
            "telephone_number": "989-439-1102",
            "fax_number": "989-439-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 KATALIN CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062161",
            "telephone_number": "989-439-1102",
            "fax_number": "989-439-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "L1997023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Alternative Health Care, P.C.
• Center for Emotional Health and Empowerment, PLLC
• Alana Jewel Chadwick
• Krishna Kanth Chalasani, PT, DPT
• Kelsey Nicole Chambers
• Jody Champagne, O.T.R.
• Abigail Faye Chandler, MSN, PMHNP-BC/C, LPC
• Diane Elizabeth Chapin, MA, LLPC
• Tiffany Ann Chappell, M.A. SPEECH PATHOLOG
• Charles W Schisler, D.O., P.C.

• Physical Therapy Assistant in Bay City, MI
• Providers in Bay City, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.