Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Champion Sports Performance and Life Wellness LLC

Organization Sports Physical Therapist · NPI 1174380471

Champion Sports Performance and Life Wellness LLC provides Sports Physical Therapist services 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