Champions Recovery Room and Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CHAMPIONS RECOVERY ROOM AND PHYSICAL THERAPY LLC

Practice address

3030 100TH St
Urbandale, IA 50322-3865

Phone

(515) 410-2908

Fax

(515) 410-2909

NPI assigned

May 2, 2018

Last updated

Mar 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Spencer, PT, MSPT, CMPT, CAFSNPI 1265468037

Title

Owner/Physical Therapist

Phone

(515) 720-9145

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Michelle Spencer, MSPT

  • Physical Therapist
  • Urbandale, IA
  • NPI 1265468037
  Medicare reassignment NPD Authorized official
• Jean Percy-Sweet, MPT

  • Physical Therapist
  • Des Moines, IA
  • NPI 1013952316
  Medicare reassignment NPD
• Krisanne Kay Colby Calhoun, P.T.

  • Physical Therapist
  • Urbandale, IA
  • NPI 1629183835
  NPD
• Hannah Moffat, DPT

  • Physical Therapist
  • Urbandale, IA
  • NPI 1619697950
  NPD

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1760971980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 100TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223865",
            "telephone_number": "515-410-2908",
            "fax_number": "515-410-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 100TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223865",
            "telephone_number": "515-410-2908",
            "fax_number": "515-410-2909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "983 E Hillcrest Ave",
            "address_purpose": "LOCATION",
            "city": "Indianola",
            "state": "IA",
            "postal_code": "501251365",
            "country_code": "US",
            "telephone_number": "515-962-5925",
            "fax_number": "515-962-5926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHAMPIONS RECOVERY ROOM AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "515-720-9145",
        "authorized_official_credential": "PT, MSPT, CMPT, CAFS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CBS Staffing, LLC. (CBS Healthcare Services)
• Central Iowa Compounding
• Central Iowa Home Care (Visiting Angels)
• Central Iowa Hospital Corporation (Urbandale Family Physicians)
• Challenges, Inc.
• Leah Michelle Cheatham, MS, BCBA
• Gino Paul Chesini, DO
• Chris Chiaramonte
• Childserve Homes Inc. (ChildServe Urbandale Home)
• Chladek O & P Inc

• Physical Therapy Clinic/Center in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Physical Therapy Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.