Champion Rehabilitation LLC
Clinic/Center (Physical Therapy)

Address: 2500 English Creek Ave, Lifecenter, Egg Harbor Township, NJ 08234-5549
Phone: 6096777268

Champion Rehabilitation LLC (NPI# 1316362494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1316362494
Entity Type Organization
Organization Name CHAMPION REHABILITATION LLC
Practice Address 2500 English Creek Ave
Lifecenter
Egg Harbor Township
NJ 08234-5549
Practice Telephone 6096777268
Practice Fax Number 6096777269
Mailing Address 2500 English Creek Ave
Lifecenter
Egg Harbor Township
NJ 08234-5549
Mailing Telephone 6096777268
Mailing Fax Number 6096777269
Authorized Official Name Mr. Salvatore Luciano (OWNER)
Authorized Official Telephone 6096777268
Authorized Official Credential PT
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2014-02-26
Last Update Date 2014-06-05

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QP2000X Clinic/Center · Physical Therapy Ambulatory Health Care Facilities 40QA00825800 NJ
No 261QP2000X Clinic/Center · Physical Therapy Ambulatory Health Care Facilities 40QA01290500 NJ

Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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1295996403 Olympic Physical Therapy, LLC Clinic/Center 3069 English Creek Ave, Suite 301, Egg Harbor Township, NJ 08234-9708 2008-06-19
1679619258 Egg Harbor Township Physical Therapy & Pain Relief LLC Clinic/Center 3007 Ocean Heights Ave, Suite 101 &102, Egg Harbor Township, NJ 08234-7707 2007-01-30

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Office Location

Street Address 2500 ENGLISH CREEK AVE
LIFECENTER
City EGG HARBOR TOWNSHIP
State NJ
Zip Code 08234-5549

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790325686 Gabriele Cuna Physician Assistant 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 2020-01-08
1952940686 Phillip Carlyle Cobrand Advanced Practice Midwife 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 2019-12-28
1932745759 Susan M Federico Obstetrics & Gynecology 2500 English Creek Ave, Suite 604, Egg Harbor Township, NJ 08234 2019-11-27
1891350880 Jennifer Lynn O'donnell Nurse Practitioner 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 2019-05-05
1992369458 Dimyana Ata Physician Assistant 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 2019-04-30
1174099675 Christine Angela Droney Social Worker 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 2018-10-23
1043741663 Jersey Shore Gastoenterology Non-Pharmacy Dispensing Site 2500 English Creek Ave, Suite 903, Egg Harbor Township, NJ 08234-5549 2017-03-24
1588017255 Ciara Nicole Beck Dietitian, Registered 2500 English Creek Ave, Building 1300, Egg Harbor Township, NJ 08234-5549 2016-07-19
1326401373 Nicole Carone Physician Assistant 2500 English Creek Ave, Building 800, Egg Harbor Township, NJ 08234-5549 2016-03-29
1194199265 Leah Ann Ricciardi Nurse Practitioner 2500 English Creek Ave, Bld. 200. Suite 214, Egg Harbor Township, NJ 08234-5549 2015-11-30
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NPI Name Taxonomy Address Enumeration
1073007928 Black Horse Alr LLC Clinic/Center 6817 Black Horse Pike, Egg Harbor Township, NJ 08234 2018-06-14
1548762016 Rebecca Flanigan Dietitian, Registered 2500 English Creek Ave. Building 800, Egg Harbor Township, NJ 08234 2018-03-01
1386164143 Community Quest, Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Apartment 312 400 Manor Drive, Absecon, NJ 08234 2017-06-22
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1417481003 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 409 Dogwood Lane, Egg Harbor Township, NJ 08234 2017-04-20
1073047668 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 11 Stone Mill Court, Egg Harbor Township, NJ 08234 2017-04-20
1831623412 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 105 Springfield Avenue, Mc Kee City, NJ 08234 2017-04-20
1821453234 Community Quest Respite Care 6814 Tilton Road, Egg Harbor Township, NJ 08234 2015-12-30
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Competitor

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City EGG HARBOR TOWNSHIP
Zip Code 08234

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.