| Organization Name: | CHAMPION PHYSICAL THERAPY LLC |
| NPI Number: | 1487833893 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN THOMAS SORENSEN (OWNER) |
| Mailing Address: | 2000 W Wickenburg Way Suite 200 Wickenburg |
| State: | AZ US |
| Postal Code: | 853901028 |
| Phone Number: | 9286680108 |
| Fax Number: | 9286680110 |
| NPI Enumeration Date: | 11/01/2007 |
| NPI Last Update Date: | 10/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |