CHAMPION PHYSICAL THERAPY LLC HALLS (NPI# 1922595388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922595388 |
| Entity Type | Organization |
| Organization Name | CHAMPION PHYSICAL THERAPY LLC HALLS |
| Other Organization Name | CORA PHYSICAL THERAPY - HARRIMAN |
| Practice Address |
2305 N Gateway Ave Unit 5 Harriman TN 37748-8682 |
| Mailing Address |
1110 Shawnee Rd Lima OH 45805-3529 |
| Practice Telephone | 8655907084 |
| Practice Fax Number | 8655917143 |
| 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 - Harriman | 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 |
| 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 |
2305 N GATEWAY AVE UNIT 5 |
| City | HARRIMAN |
| State | TN |
| Zip Code | 37748-8682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904324 | Jared Michael Orick | Nurse Practitioner | 1855 Tanner Way Ste 110, Harriman, TN 37748 | 2018-06-03 |
| 1447769062 | Jonni Rhea Wood | Nurse Practitioner | 2497 S Roane St Ste 110, Harriman, TN 37748 | 2017-09-26 |
| 1396173423 | Roane Urgent Care Clinic LLC | Clinic/Center | 2497 S. Roane St, Suite 110 B, Harriman, TN 37748 | 2013-10-29 |
| 1861837080 | Rebecca T Jordan | Community Health Worker | 257 Patton Lane, Harriman, TN 37748 | 2013-05-01 |
| 1891944765 | Kristine Joan Dyer | Nurse Practitioner | 8045 Roane Medical Center Drive, Harriman, TN 37748 | 2008-09-15 |
| 1104047703 | Doyle Alfred Griffis | Pharmacist | 319 N. Roane Street, Harriman, TN 37748 | 2007-05-01 |
| 1629107651 | Paula A Margrave | Pharmacist | Roane Plaza Hwy 27, Food City Pharmacey #634, Harriman, TN 37748 | 2007-03-05 |
| 1952471476 | Roane Chiropractic Center | Chiropractor | 1208 South Roane Street, Harriman, TN 37748 | 2006-11-09 |
| 1487756755 | Douglas Clark | Family Medicine | 2317 South Roane Street, Harriman, TN 37748 | 2006-09-05 |
| 1588681068 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1130 S Roane Street, Hwy. 27, Harriman, TN 37748 | 2006-07-17 |
| Find all providers in zip 37748 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427505361 | Star Physical Therapy Lp | Clinic/Center | 1855 Tanner Way, Suite 140, Harriman, TN 37748-8302 | 2016-09-08 |
| 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 | ||||
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.