Champion Physical Therapy - Medicare Physical Therapist in Boulder City, NV

Champion Physical Therapy is a medicare enrolled "Physical Therapist" provider in Boulder City, Nevada. Their current practice location is 1658 Boulder City Pkwy, Boulder City, Nevada. You can reach out to their office (for appointments etc.) via phone at (702) 530-6329.

Champion Physical Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Champion Physical Therapy 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 1265148217.

Contact Information

Champion Physical Therapy
1658 Boulder City Pkwy,
Boulder City, NV 89005-1904
(702) 530-6329
(702) 952-5417



Healthcare Provider's Profile

Full NameChampion Physical Therapy
TypeFacility
SpecialityPhysical Therapist
Location1658 Boulder City Pkwy, Boulder City, Nevada
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265148217
  • Provider Enumeration Date: 01/24/2023
  • Last Update Date: 12/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012374168
  • Enrollment ID: O20230605001393

Medical Identifiers

Medical identifiers for Champion Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265148217NPI-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 acts as a billing entity for following providers:
Provider NameTaylor Call
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104414093
PECOS PAC ID: 9931513603
Enrollment ID: I20230620002181

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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 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
1658 Boulder City Pkwy,
Boulder City, NV 89005-1904

Ph: (702) 530-6329
Champion Physical Therapy
1658 Boulder City Pkwy,
Boulder City, NV 89005-1904

Ph: (702) 530-6329

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Physical Therapist in Boulder City, NV

Dr. Taylor Bradley Call, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1658 Boulder City Pkwy, Boulder City, NV 89005
Phone: 702-530-6329    Fax: 702-952-5417
Meghan Nicole Wonderling,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 806 Buchanan Blvd Ste 103, Boulder City, NV 89005
Phone: 702-246-2787    
Mrs. Joann Gutschick, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 901 Adams Blvd, Home Health Office, Boulder City, NV 89005
Phone: 702-293-2332    
Christian Wesley Johnson, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 901 Adams Blvd, Boulder City, NV 89005
Phone: 702-698-8333    
Teofilo Hizon Sison,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Veterans Memorial Dr, Boulder City, NV 89005
Phone: 702-332-6784    

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