Champion Fitness, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CHAMPION FITNESS, INC

Doing business as

CF Physical Therapy

Practice address

1504 Patton Dr Ste 4
Mahomet, IL 61853-8126

Phone

(217) 590-0340

Fax

(217) 590-0342

NPI assigned

Aug 4, 2016

Organization subpart

Yes

Parent organization

CHAMPION FITNESS, INCAs reported in NPPES

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

Authorized official

Name

Michael Cohlman

Title

Ceo

Phone

(815) 844-5411

Specialties & licenses 1

Addresses

Other names 1

• CF Physical Therapy Doing business as

Part of

Champion Fitness

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Champion Fitness Inc

  • Physical Therapy Clinic/Center
  • Pontiac, IL
  • NPI 1407801012
  NPPES parent name

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1932653169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 W CUSTER AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641067",
            "telephone_number": "815-844-5411",
            "fax_number": "815-844-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 PATTON DR STE 4",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618538126",
            "telephone_number": "217-590-0340",
            "fax_number": "217-590-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION FITNESS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAMPION FITNESS, INC",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "COHLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-844-5411"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CF Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrara-Hay Counseling, P.C. (Crossroads Counseling Solutions)
• Marianne Carrara-Hay, M.S.W., L.C.S.W.
• Brandon Michael Carson, LSW
• Matthew Carter, LSW
• Gerald H Cerniak, M.D.
• Christie Clinic, PLLC
• Jillian Miranda Clark, RN
• Molly Cockerham, ATC
• Michaiah Crozier, PT, DPT
• Denise Annette Crutcher, PT

• Physical Therapy Clinic/Center in Mahomet, IL
• Providers in Mahomet, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.