CHAMPION PHYSICAL THERAPY LLC
NPI 1487833893
Clinic/Center - Physical Therapy in Wickenburg, AZ

Active since November 01, 2007
1175 W WICKENBURG WAY STE 3, WICKENBURG, AZ 85390(928) 668-0108(928) 668-0110 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2021, Jun 8, 2017 (2 updates tracked since 2017).

About Champion Physical Therapy Llc NPPES

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

CHAMPION PHYSICAL THERAPY LLC (NPI 1487833893) is a healthcare organization registered as a physical therapy in Wickenburg, Arizona and active in the NPI registry since November 2007. The organization lists Janell Marie Flamand, Owner, as its authorized official.

NPPES Registry Identity

NPI1487833893
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameCHAMPION PHYSICAL THERAPY LLC
Location Address1175 W WICKENBURG WAY STE 3Wickenburg, AZ 85390-2262
Mailing Address1175 W Wickenburg Way Ste 3Wickenburg, AZ 85390-2262 · (928) 668-0108 · Fax (928) 668-0110
Fax(928) 668-0110
Organization SubpartNo
Authorized OfficialJanell Marie FlamandOwner · (928) 668-0108
Enumeration DateNovember 1, 2007
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
✔ NPI 1487833893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An 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.
1175 W WICKENBURG WAY STE 3, Wickenburg, AZ 85390

Other Identifiers 3

OtherDN7909AZ · Railroad Medicare
Medicaid461893AZ
OtherZ118851AZ · Medicare

Accepted Insurance

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

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Champion Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Physical Therapist in Private Practice
NPI 1477829174
1175 W WICKENBURG WAY STE 3
Wickenburg, AZ 85390
(928) 668-0108
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1235405093
1175 W WICKENBURG WAY STE 3
Wickenburg, AZ 85390
(928) 668-0108
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1073171245
1175 W WICKENBURG WAY STE 3
Wickenburg, AZ 85390
(928) 668-0108
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1225240435
2000 W WICKENBURG WAY STE 200
Wickenburg, AZ 85390
(928) 668-0108
✔ Accepts Medicare1.1 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 1487833893. It was assigned to this organization in the NPPES registry on November 1, 2007.

Where is Champion Physical Therapy LLC located?

Champion Physical Therapy LLC is located at 1175 W Wickenburg Way Ste 3, Wickenburg, AZ 85390. The listed phone number is (928) 668-0108.

What is Champion Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

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), 4 clinicians, all in Physical Therapist in Private Practice, 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. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Champion Physical Therapy LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Cigna HealthCare of Arizona, Inc list Champion Physical Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Champion Physical Therapy LLC was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.