CHAMPION PHYSICAL THERAPY LLC HALLS (NPI# 1285121673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285121673 |
Entity Type | Organization |
Organization Name | CHAMPION PHYSICAL THERAPY LLC HALLS |
Other Organization Name | CORA PHYSICAL THERAPY - WHITE PINE |
Practice Address |
3108 Circle Dr White Pine TN 37890-3306 |
Mailing Address |
1110 Shawnee Rd Lima OH 45805-3529 |
Practice Telephone | 8656747454 |
Practice Fax Number | 8656747455 |
Mailing Telephone | 4192216720 |
Mailing Fax Number | 4192220507 |
Enumeration Date | 2018-04-20 |
Last Update Date | 2018-04-20 |
Authorized Official Name | MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT) |
Authorized Official Telephone | 4192216712 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
CORA Physical Therapy - White Pine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497396311 | Champion Physical Therapy LLC Halls | Clinic/Center | 4442 Frontage Rd Nw Unit 1, Cleveland, TN 37312-2903 | 2019-10-02 |
1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
1083101448 | Champion Physical Therapy LLC Halls | Clinic/Center | 4307 N Roan St Ste 7, Johnson City, TN 37615-4973 | 2018-04-20 |
1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
1083101463 | Champion Physical Therapy LLC Halls | Clinic/Center | 109 Sugarfoot Way Ste 5, Pigeon Forge, TN 37863-6204 | 2018-04-20 |
1528555992 | Champion Physical Therapy LLC Halls | Clinic/Center | 1825 N Eastman Rd Ste 4a, Kingsport, TN 37664-2372 | 2018-04-20 |
1316434764 | Champion Physical Therapy LLC Halls | Clinic/Center | 1159 Volunteer Pkwy Ste A, Bristol, TN 37620-4684 | 2018-04-20 |
1922595388 | Champion Physical Therapy LLC Halls | Clinic/Center | 2305 N Gateway Ave Unit 5, Harriman, TN 37748-8682 | 2018-04-20 |
1013404516 | Champion Physical Therapy LLC Halls | Clinic/Center | 121 N Calderwood St, Alcoa, TN 37701-2109 | 2018-04-19 |
1396232682 | Champion Physical Therapy LLC Halls | Clinic/Center | 7228 Norris Fwy, Knoxville, TN 37918-5744 | 2018-04-23 |
Street Address |
3108 CIRCLE DR |
City | WHITE PINE |
State | TN |
Zip Code | 37890-3306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154433456 | Peak Rehab | Clinic/Center | 3108 Circle Dr, White Pine, TN 37890-3306 | 2006-08-31 |
1437707452 | Shannon Wallace | Physical Therapy Assistant | 3108 Circle Dr, White Pine, TN 37890-3306 | 2019-09-03 |
1861582058 | Robert L Seahorn | Physical Therapist | 3108 Circle Dr, White Pine, TN 37890-3306 | 2006-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700929486 | Paul Jason Chaney | Dentist | 240 Cody Road, White Pine, TN 37890 | 2007-02-14 |
1235239237 | Joseph Clinton Hurley | Dentist | 3231 Roy Messer Hwy, White Pine, TN 37890 | 2006-09-22 |
1205880127 | Mark Alvin Jaynes | Optometrist | 3116 Circle Street, White Pine, TN 37890 | 2006-05-22 |
1093982621 | Southerrn Home Infusion Pharmacy | Durable Medical Equipment & Medical Supplies | 1721 Main Street, White Pine, TN 37890 | 2008-05-13 |
1710161724 | Wesley Taylor Cowan | Pharmacist | 1721 Main St., White Pine, TN 37890-0670 | 2007-12-27 |
1588919518 | Kabir David Harricharan Singh | Family Medicine | 1403 State St, White Pine, TN 37890-3175 | 2012-07-16 |
1376934422 | Healthstar Physicians, PC | Family Medicine | 1403 State St, White Pine, TN 37890-3175 | 2015-02-11 |
1215068143 | Wesley T Cowan | Pharmacy | 1627 Main St, White Pine, TN 37890-3302 | 2007-03-09 |
1336141571 | James B Schindler | Family Medicine | 1721 Main St, White Pine, TN 37890-3303 | 2005-06-01 |
1245863901 | Grace Healthcare Group Pllc | Physician Assistant | 1721 Main St, White Pine, TN 37890-3303 | 2020-02-20 |
Find all providers in zip 37890 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477151777 | Champion Physical Therapy, LLC | Clinic/Center | 109 Sugarfoot Way # 5, Pigeon Forge, TN 37863-6204 | 2020-10-09 |
1417588401 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 365 S Hartmann Dr Ste 102, Lebanon, TN 37087-4788 | 2020-01-29 |
1497396311 | Champion Physical Therapy LLC Halls | Clinic/Center | 4442 Frontage Rd Nw Unit 1, Cleveland, TN 37312-2903 | 2019-10-02 |
1205484805 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 4572 Poplar Ave, Memphis, TN 38117-7514 | 2019-08-28 |
1588228662 | Catalyst Physical Therapy and Performance, LLC | Clinic/Center | 1056 E Trinity Ln # 104, Nashville, TN 37216-3030 | 2019-04-24 |
1790247724 | Treehouse Therapy, Pllc | Clinic/Center | 7 Fireside Way, Signal Mountain, TN 37377-2019 | 2019-03-31 |
1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
1083101448 | Champion Physical Therapy LLC Halls | Clinic/Center | 4307 N Roan St Ste 7, Johnson City, TN 37615-4973 | 2018-04-20 |
1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
1083101463 | Champion Physical Therapy LLC Halls | Clinic/Center | 109 Sugarfoot Way Ste 5, Pigeon Forge, TN 37863-6204 | 2018-04-20 |
Find all providers with the same taxonomy |
City | WHITE PINE |
Zip Code | 37890 |
Please comment or provide details below to improve the information on CHAMPION PHYSICAL THERAPY LLC HALLS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.