Champion Physical Therapy Llc

LBN: Champion Physical Therapy Llc
Champion Physical Therapy Llc is an health care organization with primary practice located at 1175 W Wickenburg Way Ste 3 , Wickenburg AZ 85390-2262. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Champion Physical Therapy Llc can be contacted via phone (928) 668-0108, or through Flamand, Janell Marie via phone (928) 668-0108.

Contact Information

Primary practice address
1175 W Wickenburg Way Ste 3 Wickenburg AZ 85390-2262
Phone: (928) 668-0108
Fax: (928) 668-0110
Website:
Map and Directions
Authorized official contact:
Name: Flamand, Janell Marie Physical Therapist (PT)
Phone: (928) 668-0108

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X Arizona

Profile Details

NPI number 1487833893
LBN Legal business name Champion Physical Therapy Llc
DBA Doing business as
Authorized official Flamand, Janell Marie Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2007
Last updated Sep 23rd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487833893 NPPES
Arizona MEDICAID 461893
Arizona Other DN7909
Arizona Other Z118851

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