1. Home
  2. Directory
  3. New York
  4. Miller Place
  5. Physical Therapist
  6. NPI Profile

CHAMPION PROFESSIONAL SERVICES
NPI 1487998183
Physical Therapist - Geriatrics in Miller Place, NY

Active since November 19, 2012
93 TALLMADGE TRL, MILLER PLACE, NY 11764(631) 828-4373(631) 828-4373 Get Directions Write a Review

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Champion Professional Services NPPES

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

CHAMPION PROFESSIONAL SERVICES (NPI 1487998183) is a healthcare organization registered as a geriatrics in Miller Place, New York and active in the NPI registry since November 2012. The organization lists Michael James Lyons, President, as its authorized official.

NPPES Registry Identity

NPI1487998183
Entity TypeOrganization
Primary Taxonomy2251G0304X
Legal Business NameCHAMPION PROFESSIONAL SERVICES
Location Address93 TALLMADGE TRLMiller Place, NY 11764-2327
Mailing Address93 Tallmadge TrlMiller Place, NY 11764-2327 · (631) 828-4373 · Fax (631) 828-4373
Phone(631) 828-4373
Fax(631) 828-4373
Organization SubpartNo
Authorized OfficialMichael James LyonsPresident · (631) 828-4373
Enumeration DateNovember 19, 2012
✔ NPI 1487998183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in NY · 18775
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
93 TALLMADGE TRL, Miller Place, NY 11764
Open in Google Maps ↗

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

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 Professional Services's NPI number?

The NPI number for Champion Professional Services is 1487998183. It was assigned to this organization in the NPPES registry on November 19, 2012.

Where is Champion Professional Services located?

Champion Professional Services is located at 93 Tallmadge Trl, Miller Place, NY 11764. The listed phone number is (631) 828-4373.

What is Champion Professional Services's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Champion Professional Services was last updated on November 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.