Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Champion Professional Services

Organization Geriatric Physical Therapist · NPI 1487998183

Champion Professional Services is a Geriatric Physical Therapist in Miller Place, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

93 Tallmadge Trl
Miller Place, NY 11764-2327
Phone: (631) 828-4373
Fax: (631) 828-4373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 18775 (NY)

Record details

NPI number1487998183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Lyons — President · (631) 828-4373
NPI enumeratedNovember 19, 2012
Last updated in NPPESNovember 19, 2012
Mailing address93 Tallmadge Trl, Miller Place, NY 11764-2327