CHAMPION SPORTS MEDICINE (CHAMPION SPORTS MEDICINE BIRMINGHAM, LLC.) NPI 1386244341

Clinic/Center (Physical Therapy) in Hueytown, AL

NPI 1386244341 Organization Clinic/Center Physical Therapy

About CHAMPION SPORTS MEDICINE (CHAMPION SPORTS MEDICINE BIRMINGHAM, LLC.)

Champion Sports Medicine (champion Sports Medicine Birmingham, Llc.) is a provider established in Hueytown, Alabama specializing in clinic/center (physical therapy) . The NPI number of Champion Sports Medicine (champion Sports Medicine Birmingham, Llc.) is 1386244341 and was assigned on October 2020. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated August 2021. The provider's is doing business as Champion Sports Medicine. The authorized official of this NPI record is Elizabeth Gelbaugh (Manager Of Regulatory Affairs)

NPI

1386244341

Provider NameCHAMPION SPORTS MEDICINE (CHAMPION SPORTS MEDICINE BIRMINGHAM, LLC.)
Provider Location Address3014 ALLISON BONNETT MEMORIAL DR STE 144&146 HUEYTOWN, AL 35023
Provider Mailing Address4714 GETTYSBURG RD MECHANICSBURG, PA 17055
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameCHAMPION SPORTS MEDICINE
Other Name TypeDoing Business As (3)
Enumeration Date10-29-2020
Last Update Date08-04-2021


Primary Taxonomy

Taxonomy Code261QP2000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPhysical Therapy
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Business Address

CHAMPION SPORTS MEDICINE
3014 ALLISON BONNETT MEMORIAL DR STE 144&146
HUEYTOWN, AL
ZIP 35023
Phone: (205) 744-9444
Fax: (205) 744-9477

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Mailing Address

CHAMPION SPORTS MEDICINE
4714 GETTYSBURG RD
MECHANICSBURG, PA
ZIP 17055
Phone: (717) 972-1100



Authorized Official

Authorized Official Name ELIZABETH GELBAUGH
Authorized Official TitleMANAGER OF REGULATORY AFFAIRS
Authorized Official Phone(717) 975-4510

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationNo

Taxonomy Description: Not Available

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023418324 AARON POIRIER
Individual
Physical Therapist3014 ALLISON BONNETT MEMORIAL DR STE 144&146
HUEYTOWN, AL 35023
(205) 744-9444
1942869524PHYSIOTHERAPY ASSOCIATES, INC.
Organization
Clinic/Center (Rehabilitation)3014 ALLISON BONNETT MEMORIAL DR STE 144&146
HUEYTOWN, AL 35023
(205) 744-9444
1821764143BLUE HEN PHYSICAL THERAPY, INC.
Organization
Clinic/Center (Physical Therapy)3014 ALLISON BONNETT MEMORIAL DR STE 144&146
HUEYTOWN, AL 35023
(205) 744-9444

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.