CHAMPION REHABILITATION AND SUPPORT SERVICES PLLC - NPI 1801267703

Q: What is Champion Rehabilitation And Support Services PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

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About Champion Rehabilitation And Support Services Pllc NPPES

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

CHAMPION REHABILITATION AND SUPPORT SERVICES PLLC (NPI 1801267703) is a healthcare organization registered as a developmental disabilities in Plano, Texas and active in the NPI registry since October 2015. The organization maintains a secondary practice location in Dallas and lists Stephanie O'silas, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1801267703

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameCHAMPION REHABILITATION AND SUPPORT SERVICES PLLC

Location Address5068 W PLANO PKWY STE 300Plano, TX 75093-4409

Mailing AddressPo Box 703975Dallas, TX 75370-3975 · (972) 755-9765 · Fax (214) 602-3260

Phone(972) 755-9765

Fax(214) 602-3260

Organization SubpartNo

Authorized OfficialStephanie O'silasClinical Director · (972) 755-9765

Enumeration DateOctober 18, 2015

Last NPPES UpdateOctober 16, 20173 updates tracked since enumeration

✔ NPI 1801267703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

License✔ Licensed in TX · 110891

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

5068 W PLANO PKWY STE 300, Plano, TX 75093

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Secondary Practice Location 1

Location 13930 Accent DrDallas, TX 75287-7713 · Phone (972) 755-9765

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONSTANCE IBE MS

Speech-Language Pathologist