CHAMPION PHYSICAL THERAPY LLC HALLS
NPI 1073771564
Clinic/Center - Rehabilitation in Knoxville, TN
About Champion Physical Therapy Llc Halls NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHAMPION PHYSICAL THERAPY LLC HALLS (NPI 1073771564) is a healthcare organization registered as a rehabilitation in Knoxville, Tennessee and active in the NPI registry since May 2008. The organization lists Brad C. Roush, Executive Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 14
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 Halls is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Champion Physical Therapy LLC Halls, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Halls's NPI number?
The NPI number for Champion Physical Therapy LLC Halls is 1073771564. It was assigned to this organization in the NPPES registry on May 30, 2008.
Where is Champion Physical Therapy LLC Halls located?
Champion Physical Therapy LLC Halls is located at 7228 Norris Fwy, Knoxville, TN 37918. The listed phone number is (865) 300-0512.
What is Champion Physical Therapy LLC Halls's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.
Is Champion Physical Therapy LLC Halls enrolled in Medicare?
Yes. Champion Physical Therapy LLC Halls is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Champion Physical Therapy LLC Halls?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Champion Physical Therapy LLC Halls. 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. Of these, 1 practice at this address and 2 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 Halls was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Champion Physical Therapy Llc Halls · NPI 1073771564
Rehabilitation organization in Knoxville, Tennessee. Organization record, active in the CMS NPPES registry since May 30, 2008.
## Identity
- **NPI:** 1073771564 (Entity type: Organization)
- **Enumerated:** May 30, 2008
- **Primary specialty:** Clinic/Center - Rehabilitation · taxonomy 261QR0400X
- **Organization subpart:** No
- **Authorized official:** Brad Roush, EXECUTIVE VICE PRESIDENT
## Practice location
- **Address:** 7228 NORRIS FWY, Knoxville, TN 37918-5744
- **Phone:** (865) 300-0512
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2019
- **Other identifiers:** Other 1528555992 (TN); Other 1013404516 (TN); Other 1558858902 (TN); and 11 more
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Source: [NPI Profile](https://npiprofile.com/npi/1073771564) · Data from the CMS NPPES public registry.