COUNTRY MANOR CAMPUS LLC
NPI 1407779721
Physical Therapist in Sartell, MN
About Country Manor Campus Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COUNTRY MANOR CAMPUS LLC (NPI 1407779721), doing business as Champion Rehab, is a healthcare organization registered as a physical therapist in Sartell, Minnesota and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through September 17, 2028 and lists Kevin Harguth, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
- 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.
Other Names 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D0406036
Country Manor Campus LLC Country Manor Health Care And Rehab Center · Sartell, MNOther Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SARTELL, MN 56377
SARTELL, MN 56377
SARTELL, MN 56377
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 Country Manor Campus LLC's NPI number?
The NPI number for Country Manor Campus LLC is 1407779721. It was assigned to this organization in the NPPES registry on August 3, 2026. The provider is doing business as Champion Rehab.
Where is Country Manor Campus LLC located?
Country Manor Campus LLC is located at 520 1st St NE, Sartell, MN 56377. The listed phone number is (320) 253-1920.
What is Country Manor Campus LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Does Country Manor Campus LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D0406036) is associated with this NPI, valid through September 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Country Manor Campus LLC was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.