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CHAMPION PERFORMANCE AND REHABILITATION
NPI 1003118969
Chiropractor in East Setauket, NY

Active since November 29, 2010
5 S JERSEY AVE, EAST SETAUKET, NY 11733(631) 675-2758(631) 675-2760 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Nov 10, 2021 (2 updates tracked since 2021).

About Champion Performance And Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAMPION PERFORMANCE AND REHABILITATION (NPI 1003118969) is a healthcare organization registered as a chiropractor in East Setauket, New York and active in the NPI registry since November 2010. The organization lists James Gucciardi, Owner, as its authorized official.

NPPES Registry Identity

NPI1003118969
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameIMAGINE CHIROPRACTIC HEALTHCARE, PLLC
Location Address5 S JERSEY AVEEast Setauket, NY 11733-2045
Mailing AddressPo Box 202Saint James, NY 11780-0202 · (631) 675-2758 · Fax (631) 675-2760
Phone(631) 675-2758
Fax(631) 675-2760
Organization SubpartNo
Authorized OfficialJames GucciardiOwner · (631) 675-2758
Enumeration DateNovember 29, 2010
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1003118969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 010407
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5 S JERSEY AVE, East Setauket, NY 11733
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Other Names 1

Doing Business AsChampion Performance And Rehabilitation

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES GUCCIARDI DC
Chiropractor
5 S JERSEY AVE
EAST SETAUKET, NY 11733
Suffolk County (631) 675-2758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imagine Chiropractic Healthcare, PLLC's NPI number?

The NPI number for Imagine Chiropractic Healthcare, PLLC is 1003118969. It was assigned to this organization in the NPPES registry on November 29, 2010. The provider is doing business as Champion Performance And Rehabilitation.

Where is Imagine Chiropractic Healthcare, PLLC located?

Imagine Chiropractic Healthcare, PLLC is located at 5 S Jersey Ave, East Setauket, NY 11733. The listed phone number is (631) 675-2758.

What is Imagine Chiropractic Healthcare, PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Imagine Chiropractic Healthcare, PLLC was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.