CHAMPION PHYSICAL THERAPY LLC
NPI 1053509299
Physical Therapist in Cumming, GA

Active since October 12, 2007
540 LAKE CENTER PKWY, SUIET 107, CUMMING, GA 30040(770) 205-3939(770) 205-4994 Get Directions Write a Review

NPPES record last updated: October 12, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Champion Physical Therapy Llc NPPES

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

CHAMPION PHYSICAL THERAPY LLC (NPI 1053509299) is a healthcare organization registered as a physical therapist in Cumming, Georgia and active in the NPI registry since October 2007. The organization lists Matthew Lee Foltz, Owner/physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1053509299
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameCHAMPION PHYSICAL THERAPY LLC
Location Address540 LAKE CENTER PKWY, SUIET 107Cumming, GA 30040-7727
Mailing Address540 Lake Center Pkwy, Suiet 107Cumming, GA 30040-7727 · (770) 205-3939 · Fax (770) 205-4994
Fax(770) 205-4994
Organization SubpartNo
Authorized OfficialMatthew Lee FoltzOwner/physical Therapist · (770) 205-3939
Enumeration DateOctober 12, 2007
✔ NPI 1053509299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
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 perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
540 LAKE CENTER PKWY, Cumming, GA 30040

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Champion Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Champion Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice9
Pathology1

Clinicians, nearest first (10)

Physical Therapist in Private Practice
NPI 1104079771
540 LAKE CENTER PKWY STE 107
Cumming, GA 30040
(770) 205-3939
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1295813269
540 LAKE CENTER PKWY SUITE 107
Cumming, GA 30040
(770) 205-3939
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1366552200
540 LAKE CENTER PKWY SUITE 107
Cumming, GA 30040
(770) 205-3939
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1215503404
540 LAKE CENTER PKWY STE 107
Cumming, GA 30040
(770) 205-3939
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1821749912
540 LAKE CENTER PKWY
Cumming, GA 30040
(770) 205-3939
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1073330627
540 LAKE CENTER PKWY
Cumming, GA 30040
(770) 205-3939
Same address
Physical Therapist in Private Practice
NPI 1134238330
565 LAKELAND PLZ
Cumming, GA 30040
(770) 889-8758
✔ Accepts Medicare0.9 mi
Physical Therapist in Private Practice
NPI 1366283541
5530 WINDWARD PKWY STE 350
Alpharetta, GA 30004
(770) 410-1808
✔ Accepts Medicare11 mi
Pathology
NPI 1003177213
620 SKYLINE DR
Jackson, TN 38301
(731) 541-6026
✔ PECOS✔ Accepts Medicare285 mi
Physical Therapist in Private Practice
NPI 1114173242
122 BRANCHWOOD SHOPPING CTR
Jacksonville, NC 28546
(910) 938-7555
✔ Accepts Medicare386 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Champion Physical Therapy LLC's NPI number?

The NPI number for Champion Physical Therapy LLC is 1053509299. It was assigned to this organization in the NPPES registry on October 12, 2007.

Where is Champion Physical Therapy LLC located?

Champion Physical Therapy LLC is located at 540 Lake Center Pkwy Suiet 107, Cumming, GA 30040. The listed phone number is (770) 205-3939.

What is Champion Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Champion Physical Therapy LLC enrolled in Medicare?

Yes. Champion Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Champion Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Champion Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (9) and Pathology (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Champion Physical Therapy LLC was last updated on October 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.