Champion Performance Physical Therapy, Pc in Austin - Physical Therapist

Champion Performance Physical Therapy, Pc - NPI 1942279823

Champion Performance Physical Therapy, Pc is a Physical Therapist in Austin, Texas. Champion Performance Physical Therapy, Pc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Champion Performance Physical Therapy, Pc is 1942279823. The last update date is 2010-07-28.

Champion Performance Physical Therapy, Pc's current location address is Po Box 170040, Austin, Texas. You can contact this provider via phone number 5129960441 and fax number 5129960442. The mailing address for Champion Performance Physical Therapy, Pc is Po Box 170040, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Champion Performance Physical Therapy, Pc
Address Po Box 170040, Austin, Texas
Phone Number 5129960441
Fax Number 5129960442
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER, PHY
Authorized Official Name Powell Jean Christie
Credentials MSPT
Telephone Number 5129960441

NPI Number Detail

NPI Number 1942279823
Provider Enumeration Date 2006-03-14
Last Updated Date 2010-07-28

Provider Mailing Address Detail

Address Po Box 170040
City Austin
State Texas (TX)
Post Code 787170003
Phone Number 5129960441
Fax Number 5129960442

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 656610000
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3418380 TX CIGNA
0045MR TX BC/BS PROVIDER NUMBER
7141718 TX AETNA

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FAQs about Champion Performance Physical Therapy, Pc

What is the Champion Performance Physical Therapy, Pc's unique identification number?

The Champion Performance Physical Therapy, Pc has been assigned the NPI (National Provider Identifier) Number 1942279823 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Champion Performance Physical Therapy, Pc?

The Champion Performance Physical Therapy, Pc is physically situated at Po Box 170040, in the city of Austin, state of TX, with the postal code 787170003.

What is Champion Performance Physical Therapy, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Champion Performance Physical Therapy, Pc is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1942279823 to Champion Performance Physical Therapy, Pc?

The Centers for Medicare & Medicaid Services originally issued the 1942279823 to Champion Performance Physical Therapy, Pc on 2006-03-14.

As of what date were the details pertaining to Champion Performance Physical Therapy, Pc last refreshed?

The information related to the Champion Performance Physical Therapy, Pc, including its address, specialty, and other relevant details, was last updated on 2010-07-28.

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