| Champion Performance Physical Therapy, Pc | |
|
12611 Hymeadow Dr, Austin, TX 78729-2700 | |
| (512) 996-0441 | |
| (512) 996-0442 |
| Full Name | Champion Performance Physical Therapy, Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 12611 Hymeadow Dr, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942279823 | NPI | - | NPPES |
| 3418380 | Other | TX | CIGNA |
| 0045MR | Other | TX | BC/BS PROVIDER NUMBER |
| 7141718 | Other | TX | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 656610000 (Texas) | Primary |
| Provider Name | Christie J Powell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134154883 PECOS PAC ID: 5698788370 Enrollment ID: I20060725000167 |
| Provider Name | Robert J Borromeo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174019129 PECOS PAC ID: 9436403979 Enrollment ID: I20181119002765 |
| Provider Name | Megan N Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740762988 PECOS PAC ID: 4082945985 Enrollment ID: I20191008000118 |
| Provider Name | Julia R Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366095796 PECOS PAC ID: 4486082823 Enrollment ID: I20200317002026 |
| Provider Name | Monica Joiner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649854324 PECOS PAC ID: 1355740218 Enrollment ID: I20210525002908 |
| Provider Name | Justin Robert Traxler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487228078 PECOS PAC ID: 2466852454 Enrollment ID: I20210614000366 |
| Provider Name | Parsa Koochak Kosari |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912644592 PECOS PAC ID: 3870974330 Enrollment ID: I20220715000887 |
| Provider Name | Marissa Rae Schiwitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992427025 PECOS PAC ID: 0547646994 Enrollment ID: I20221007002103 |
| Provider Name | Jacqueline Raymond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275233835 PECOS PAC ID: 7113385709 Enrollment ID: I20230613003620 |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Performance Physical Therapy, Pc Po Box 170040, Austin, TX 78717-0003 Ph: (512) 996-0441 | Champion Performance Physical Therapy, Pc 12611 Hymeadow Dr, Austin, TX 78729-2700 Ph: (512) 996-0441 |
Margaret Galewsky, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4607 Manchaca Rd, Austin, TX 78745 Phone: 512-916-1511 Fax: 512-916-1532 | |
Dr. Christopher Lee Dickerson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 911 W 38th St Ste 300, Austin, TX 78705 Phone: 512-439-1000 | |
Dr. Katie Laura O'sullivan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4700 Seton Center Pkwy, Suite 200, Austin, TX 78759 Phone: 512-439-1000 Fax: 512-439-1081 | |
Jessica Silveira, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9101 Burnet Rd Ste 103, Austin, TX 78758 Phone: 512-248-2422 | |
Ariana Saldana, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4607 Manchaca Rd, Austin, TX 78745 Phone: 512-916-1511 Fax: 512-916-1532 | |
Sonia Ann Lucas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8204 Williamson Creek Dr, Austin, TX 78736 Phone: 512-675-3266 | |
Dizzyphysio Physical Therapist Medicare: Medicare Enrolled Practice Location: 8306 Los Ranchos Dr, Austin, TX 78749 Phone: 512-953-7626 |