CHAMPION PHYSICAL THERAPY AND PERFORMANCE, INC
NPI 1649683202
Community/Behavioral Health in Waltham, MA

Active since June 11, 2014
108 CLEMATIS AVE STE A, WALTHAM, MA 02453(617) 992-2984 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About CHAMPION PHYSICAL THERAPY AND PERFORMANCE, INC

This page provides the complete NPI Profile along with additional information for Champion Physical Therapy And Performance, Inc, a provider established in Waltham, Massachusetts operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1649683202 assigned on June 2014. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Michael Reinold Pt (President)

NPI
1649683202 Verify this NPI
Provider Name
CHAMPION PHYSICAL THERAPY AND PERFORMANCE, INC
Entity Type
Organization
Location Address
108 CLEMATIS AVE STE A WALTHAM, MA 02453
Location Phone
(617) 992-2984
Mailing Address
108 CLEMATIS AVE STE A WALTHAM, MA 02453
Mailing Phone
(617) 992-2984
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2014
Last Update Date
06-11-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MICHAEL REINOLD PT

Authorized Official Title
PRESIDENT
Authorized Official Phone
(617) 992-2984

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649683202, enumerated as an "organization" on June 11, 2014.

The provider is located at 108 CLEMATIS AVE STE A WALTHAM, MA 02453 and the phone number is (617) 992-2984.

Community/Behavioral Health with taxonomy code 251S00000X.