# CHAMPION PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CORA Physical Therapy - Pigeon Forge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477151777
- **Authorized official:** STEVE KRZYMINSKI (EXEC VP)
- **Authorized official phone:** (419) 221-6717

## Contact information

- **Practice address:** 109 SUGARFOOT WAY \# 5, PIGEON FORGE, TN 37863-6204
- **Practice address phone:** (865) 365-4800
- **Practice address fax:** (865) 365-4801
- **Mailing address:** PO BOX 150, LIMA, OH 45802-0150
- **Mailing address phone:** (419) 221-6717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2020
- **Last updated:** 10/12/2023