Jamie Brenda Champion, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT16104 Issued in CA

Practice address

3625 E. Thousand Oaks Blvd
Suite 102
Westlake Village, CA 91362

Phone

(805) 494-3131

Fax

(805) 494-3002

NPI assigned

Jul 22, 2009

Sex

Female

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1760612915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 E. THOUSAND OAKS BLVD",
            "address_2": "SUITE 102",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-494-3131",
            "fax_number": "805-494-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 E. THOUSAND OAKS BLVD",
            "address_2": "SUITE 102",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-494-3131",
            "fax_number": "805-494-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "JAMIE",
        "middle_name": "BRENDA",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Chae, PSY.D.
• Ali David Chahine, MD
• Christopher Chamberlain, MA AMFT
• Hannah Chamberlin
• Erica Chambers
• James Chan, M.D.
• Joel Anteol Chan, MD
• Bonnie Zabren Chandler, MA
• Changing Steps
• Celeste Margaret Charbonnet-Cross, LMFT

• Physical Therapist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.