CHAMPION PHYSICAL THERAPY LLC HALLS (NPI# 1497396311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497396311 |
| Entity Type | Organization |
| Organization Name | CHAMPION PHYSICAL THERAPY LLC HALLS |
| Other Organization Name | CORA PHYSICAL THERAPY - CLEVELAND |
| Practice Address |
4442 Frontage Rd Nw Unit 1 Cleveland TN 37312-2903 |
| Mailing Address |
1110 Shawnee Rd Lima OH 45805-3529 |
| Practice Telephone | 4192216717 |
| Practice Fax Number | 4192220507 |
| Mailing Telephone | 4192216717 |
| Mailing Fax Number | 4192220507 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-11-08 |
| 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 - Cleveland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1285121673 | Champion Physical Therapy LLC Halls | Clinic/Center | 3108 Circle Dr, White Pine, TN 37890-3306 | 2018-04-20 |
| Street Address |
4442 FRONTAGE RD NW UNIT 1 |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326506593 | Gehad I Quraan | Clinic/Center | 5139 W 140th St, Cleveland, OH 44142-1755 | 2019-03-06 |
| 1851784300 | Michelle Navalance Mariani | Clinic/Center | 500 Tanner Ave, Cleveland, TX 77327-4730 | 2015-03-09 |
| 1871044099 | Mary Yvonne Harley | Clinic/Center | 2500 Metrohealth Dr, Old Brooklyn Health Center, Suite N5-43, Cleveland, OH 44109-1900 | 2016-10-24 |
| 1184945057 | Pf Development 6, L. L. C. | Clinic/Center | 11900 Fairhill Rd, Cleveland, OH 44120-1062 | 2010-06-15 |
| 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 |
| 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 |
| 1528555992 | Champion Physical Therapy LLC Halls | Clinic/Center | 1825 N Eastman Rd Ste 4a, Kingsport, TN 37664-2372 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
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| 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.