CHAMPION FITNESS, INC (NPI# 1518353861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518353861 |
| Entity Type | Organization |
| Organization Name | CHAMPION FITNESS, INC |
| Practice Address |
108 Watters Dr Dwight IL 60420-2200 |
| Mailing Address |
924 W Custer Ave Pontiac IL 61764-1067 |
| Practice Telephone | 8155845411 |
| Practice Fax Number | 8155844803 |
| Mailing Telephone | 8158445411 |
| Mailing Fax Number | 8158445322 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |
| Authorized Official Name | MICHAEL COHLMAN (CEO) |
| Authorized Official Telephone | 8158445411 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHAMPION FITNESS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225584816 | Champion Fitness, Inc | Clinic/Center | 947 Jackson Plaza, Morton, IL 61550-1567 | 2016-09-01 |
| 1609322296 | Champion Fitness, Inc | Clinic/Center | 1300 E. Us Highway 40, Casey, IL 62420 | 2016-09-01 |
| 1932653169 | Champion Fitness, Inc | Clinic/Center | 1504 Patton Dr Ste 4, Mahomet, IL 61853-8126 | 2016-08-04 |
| 1306390521 | Champion Fitness, Inc | Clinic/Center | 200 E Cedar St Ste C, Le Roy, IL 61752-1903 | 2016-08-04 |
| 1477007607 | Champion Fitness, Inc | Clinic/Center | 425 E Us Route 6 Ste A, Morris, IL 60450-9043 | 2016-08-04 |
| 1114313467 | Champion Fitness, Inc | Clinic/Center | 902 E Oak St Ste 3, Fairbury, IL 61739-1301 | 2015-04-14 |
| 1457805772 | Champion Fitness, Inc | Clinic/Center | 607 W Jourdan St, Newton, IL 62448-1055 | 2016-08-04 |
| 1942754163 | Champion Fitness, Inc | Clinic/Center | 2105 Court St, Pekin, IL 61554-5216 | 2016-08-04 |
| 1760936991 | Champion Fitness, Inc | Clinic/Center | 605 E Southline Rd, Tuscola, IL 61953-2053 | 2016-08-04 |
| 1164976387 | Champion Fitness, Inc | Clinic/Center | 815 N Main St, Flora, IL 62839-1033 | 2016-08-04 |
| Street Address |
108 WATTERS DR |
| City | DWIGHT |
| State | IL |
| Zip Code | 60420-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457710691 | Ryan Crowley | Physical Therapist | 108 Watters Dr, Dwight, IL 60420-2200 | 2016-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902149982 | Maulin G Shah | Family Medicine | 107 Watters Dr, Dwight, IL 60420 | 2013-03-28 |
| 1558446633 | Highland Park Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 106 Watters Dr, Dwight, IL 60420 | 2006-10-26 |
| 1861598997 | Cynthia Ann Humbert | Dentist | 413 E Mazon Ave, Dwight, IL 60420 | 2006-09-16 |
| 1851404313 | Mark A Passerman | Family Medicine | 101 S Prairie Ave, Dwight, IL 60420 | 2006-08-17 |
| 1528174489 | Bradford R Egly | Podiatrist | 108 W Main St, Dwight, IL 60420 | 2006-08-22 |
| 1558820829 | Laura E Lamere | Occupational Therapy Assistant | 215 E North St, Dwight, IL 60420-1051 | 2019-03-17 |
| 1982695029 | Heritage Manor Dwight, LLC | Durable Medical Equipment & Medical Supplies | 300 E Mazon Ave, Dwight, IL 60420-1104 | 2005-10-28 |
| 1194280024 | Matthew J Govednik | Physical Therapy Assistant | 300 E Mazon Ave, Dwight, IL 60420-1104 | 2019-02-05 |
| 1215346036 | Kelly Martin | Occupational Therapist | 300 E Mazon Ave, Dwight, IL 60420-1104 | 2014-08-06 |
| 1487061974 | Debra Wilder | Physical Therapy Assistant | 300 E Mazon Ave, Dwight, IL 60420-1104 | 2014-07-16 |
| Find all providers in zip 60420 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| 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.