Champion Rehabilitation and Support Services PLLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

110891 Issued in TX

Legal business name

CHAMPION REHABILITATION AND SUPPORT SERVICES PLLC

Practice address

5068 W Plano Pkwy Ste 300
Plano, TX 75093-4409

Phone

(972) 755-9765

Fax

(214) 602-3260

NPI assigned

Oct 18, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie O'Silas, MS CCC-SLPNPI 1841664422

Title

Clinical Director

Phone

(972) 755-9765

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie O'Silas, MS CCC-SLP

  • Speech-Language Pathologist
  • Plano, TX
  • NPI 1841664422
  Medicare reassignment NPD Authorized official
• Sapana Gyawali

  • Speech-Language Pathologist
  • Plano, TX
  • NPI 1992375661
  Medicare reassignment NPD
• Kalli Moyer

  • Speech-Language Pathologist
  • Frisco, TX
  • NPI 1760007249

  Multi-Specialty

  NPD
• Tiauna Wilborn

  • Speech-Language Pathologist
  • Plano, TX
  • NPI 1619465929

  Single Specialty

  NPD
• Zeytun Tahir, SLP ASSISTANT

  • Speech-Language Assistant
  • Plano, TX
  • NPI 1285121566
  NPD (past)

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

{
    "created_epoch": "1445126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1801267703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703975",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753703975",
            "telephone_number": "972-755-9765",
            "fax_number": "214-602-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5068 W PLANO PKWY STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934409",
            "telephone_number": "972-755-9765",
            "fax_number": "214-602-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3930 Accent Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752877713",
            "country_code": "US",
            "telephone_number": "972-755-9765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHAMPION REHABILITATION AND SUPPORT SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-18",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "O'SILAS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "972-755-9765",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "TX",
            "license": "110891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chakra Diagnostics LLC
• Aditi Chakradeo
• Christian Michael Chambers
• Elisa M Chambers, LPC
• James Alan Chambers, M.D., M.P.H.
• Briana Nicole Champion, NP
• Desmon Marque Champion, RBT
• Mukhttar Jaffer Champsi, D.D.S., D.C.
• Arnel Chan
• Joann Chan

• Developmental Disabilities Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Developmental Disabilities Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.