Joseph Champagne, PT
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Mount Shasta, CA
NPI 1982932513 · NPPES record last updated Nov 19, 2009
Key facts
- NPI
- 1982932513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 19766 (CA)
- Practice address
- 633 Lassen LN
Mount Shasta, CA 96067-9002 - Phone
- (530) 926-6010
- Fax
- (530) 926-6909
- NPI assigned
- Nov 19, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 19766 | CA | Yes |
Addresses
Primary practice location
633 Lassen LN
Mount Shasta, CA 96067-9002
Mailing address
633 Lassen LN
Mount Shasta, CA 96067-9002
Phone (530) 926-6010
Other providers in Mount Shasta, CA
- Stacy Carter
- Christina Caselli
- Neringa Cavalcante Noronha
- Kimberly Centeno
- Amy Nicholene Chambers
- Alan Cohn
- Jane S Cohn
- Chester A Collins
- Sally J Cooper
- County of Siskiyou
All providers in Mount Shasta, CA · Physical Medicine & Rehabilitation Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.