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

Champion Sports Performance and Life Wellness LLC

Organization Sports Physical Therapist · NPI 1174380471

Champion Sports Performance and Life Wellness LLC is a Sports Physical Therapist in Medford, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

180 Route 70
Medford, NJ 08055-8703
Phone: (609) 442-1212
Fax: (609) 714-9194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X

Record details

NPI number1174380471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rudolph Christopher — Owner · (609) 442-1212
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address10 Rams Gate Ct, Medford, NJ 08055-9704