Champion Physical Therapy Llc - Medicare Physical Therapist in Cumming, GA

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Champion Physical Therapy Llc is a medicare enrolled "Physical Therapist" provider in Cumming, Georgia. Their current practice location is 540 Lake Center Pkwy, Suiet 107, Cumming, Georgia. You can reach out to their office (for appointments etc.) via phone at (770) 205-3939.

Champion Physical Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Champion Physical Therapy Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1053509299.

Contact Information

Champion Physical Therapy Llc
540 Lake Center Pkwy, Suiet 107,
Cumming, GA 30040-7727
(770) 205-3939
(770) 205-4994

Map and Direction




Healthcare Provider's Profile

Full NameChampion Physical Therapy Llc
TypeFacility
SpecialityPhysical Therapist
Location540 Lake Center Pkwy, Cumming, Georgia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053509299
  • Provider Enumeration Date: 10/12/2007
  • Last Update Date: 10/12/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6800985417
  • Enrollment ID: O20071205000193

Medical Identifiers

Medical identifiers for Champion Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053509299NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Champion Physical Therapy Llc acts as a billing entity for following providers:
Provider NameMatthew L Foltz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295813269
PECOS PAC ID: 9931185196
Enrollment ID: I20070629000494
Provider NameJill K Mathis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366552200
PECOS PAC ID: 7012003353
Enrollment ID: I20071017000628
Provider NameCynthia R Wheeler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134238330
PECOS PAC ID: 8729162987
Enrollment ID: I20080226000728
Provider NameEllen F Welch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104079771
PECOS PAC ID: 6103961420
Enrollment ID: I20100310000932
Provider NameJose L Dejesus
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114173242
PECOS PAC ID: 5092881508
Enrollment ID: I20130508000368
Provider NameAshley Brooke Porter
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1003177213
PECOS PAC ID: 8628214319
Enrollment ID: I20170908000378
Provider NameRobert Borger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083168975
PECOS PAC ID: 9335499110
Enrollment ID: I20180829002887
Provider NameNicole Bailys
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851952881
PECOS PAC ID: 6709118367
Enrollment ID: I20191031000430
Provider NameKayla F Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215503404
PECOS PAC ID: 4981006814
Enrollment ID: I20210714001655
Provider NameWilliam A Parten
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568032332
PECOS PAC ID: 3870998065
Enrollment ID: I20210826001066
Provider NameEric J Holshouser
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821749912
PECOS PAC ID: 6507250461
Enrollment ID: I20220218001931

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Champion Physical Therapy Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Champion Physical Therapy Llc
540 Lake Center Pkwy, Suiet 107,
Cumming, GA 30040-7727

Ph: (770) 205-3939		Champion Physical Therapy Llc
540 Lake Center Pkwy, Suiet 107,
Cumming, GA 30040-7727

Ph: (770) 205-3939

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.