Champion Physical Therapy and Performance LLC
NPI 1558125625ActiveOrganization· Physical Therapist· Medford, NJ
Physical Therapist in Medford, New Jersey, registered in NPPES in February 2024. The authorized official on file is Rudy Christopher, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1558125625 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 9, 2024 |
| Last updated in NPPES | Feb 9, 2024 |
| Certified by provider | Feb 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NJ) |
|---|
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