Healthcare Provider Details

I. General information

NPI: 1881509933
Provider Name (Legal Business Name): CHAMPION PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

384 GREENE DR
JEFFERSON HILLS PA
15025-6316
US

IV. Provider business mailing address

384 GREENE DR
JEFFERSON HILLS PA
15025-6316
US

V. Phone/Fax

Practice location:
  • Phone: 412-901-0272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY WALTERS
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 412-901-0272