CMS-1500 Box 24J / 33a • NPI
1396779419
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225100000X (CMS 65)
Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
Box 32 Service Location & ZIP+4
162 MOUNTAIN RD, SUFFIELD, CT, 06078-2091
✓ 9-Digit EDI 837 ZIP+4 (06078-2091)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1396779419 (LYNN ANNE CHAMPAGNE, PT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1396779419)
Medicare Beneficiaries
19
Total Billed Services
606
Distinct CPT/HCPCS Codes
8
Medicare Allowed Total
$15,957.52
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 90 |
97140 | Therapy procedure using manual technique, each 15 minutes | 191 |
97150 | Therapy procedure in a group setting | 139 |
97161 | Evaluation for physical therapy, typically 20 minutes | 13 |
97530 | Therapy procedure using functional activities | 138 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1396779419 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LYNN ANNE CHAMPAGNE, PT |
| Plain-English Specialty | Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist NUCC Code: 225100000X (Physical Therapist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 162 MOUNTAIN RD, SUFFIELD, CT, 06078-2091 |
| Practice Telephone / Fax | Tel: (860) 668-9589 | Fax: (860) 668-9802 |
| Administrative Mailing Address | 148 EAST AVE, NORWALK, CT, 06851-5721 |
| Enumeration & Last Sync | Enumerated: 2006-07-11 | CMS Record Updated: 2026-03-19 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (225100000X)
What Does Taxonomy Code 225100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LYNN ANNE CHAMPAGNE, PT)
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
- 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 |
|---|---|
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: CT | License: 005143 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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