MICHELINE CHAMPAGNE — NPI 1326094889 (Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Orthopedic in RANDOLPH, MA)

CMS-1500 Box 24J / 33a • NPI

1326094889

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2251X0800X (CMS 65)

Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Orthopedic

Box 32 Service Location & ZIP+4

999 N MAIN ST, RANDOLPH, MA, 02368-3072

✓ 9-Digit EDI 837 ZIP+4 (02368-3072)

Practice Phone & Referral Fax

(781) 963-1697

Fax: (781) 963-5770

⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1326094889 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(3) — Felony Health Care Fraud Conviction — Effective 2011-09-20). Verify before submitting Medicare/Medicaid claims.

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1326094889` (NPI-1 Individual Practitioner)
Provider / Legal Name	MICHELINE CHAMPAGNE
Plain-English Specialty	Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Orthopedic NUCC Code: `2251X0800X` (Physical Therapist, Orthopedic)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	999 N MAIN ST, RANDOLPH, MA, 02368-3072
Practice Telephone / Fax	Tel: (781) 963-1697 \| Fax: (781) 963-5770
Administrative Mailing Address	212 PAGE ST, AVON, MA, 02322-1211
Enumeration & Last Sync	Enumerated: 2006-05-26 \| CMS Record Updated: 2008-07-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

999 N MAIN ST, RANDOLPH, MA, 02368-3072

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Plain-English Taxonomy & CMS Crosswalk (2251X0800X)

What Does Taxonomy Code 2251X0800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2251X0800X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Orthopedic"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 65 (Physical Therapist in Private Practice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapist, Orthopedic for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MICHELINE CHAMPAGNE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2251X0800X` — Physical Therapist, Orthopedic Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist, Orthopedic	State: MA \| License: `13242` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MICHELINE CHAMPAGNE (NPI #1326094889)