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Champion Physical Therapy Kentucky, LLC

Rehabilitation Clinic/Center in Middlesboro, KY · enumerated 2018 · authorized official Brad Roush, Executive Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114403060

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Registry record

Entity type Organization (Type 2)
Legal business name Champion Physical Therapy Kentucky, LLC
Other name <Unavail>
Practice address 1475 Us Highway 25 E Ste 6, Middlesboro, KY, 40965
Fax (606) 248-1901
Enumeration date Jul 13, 2018
Last updated in NPPES Jul 13, 2018

Taxonomy & classification

261QR0400X Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Brad Roush
Title Executive Vice President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Champion Physical Therapy Kentucky, LLC?
The NPI for Champion Physical Therapy Kentucky, LLC is 1114403060, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Champion Physical Therapy Kentucky, LLC?
NPPES lists Brad Roush (Executive Vice President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-07-13.