THOMAS CHILDERS (NPI# 1437708385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437708385 |
| Entity Type | Individual |
| Full Name | THOMAS CHILDERS |
| Credential | PT, DPT |
| Practice Address |
1001 Van Buren Ave Ste 3 Indian Trail NC 28079-5541 |
| Mailing Address |
8918 Blakeney Professional Dr Ste 120 Charlotte NC 28277-6692 |
| Practice Telephone | 7046286053 |
| Mailing Telephone | 7046090357 |
| Mailing Fax Number | 7048179523 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
19077 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1001 VAN BUREN AVE STE 3 |
| City | INDIAN TRAIL |
| State | NC |
| Zip Code | 28079-5541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588844708 | Joseph J Tedesco | Physical Therapist | 1001 Van Buren Ave Ste 3, Indian Trail, NC 28079-5541 | 2007-11-05 |
| 1104435965 | Brianna Mandry | Physical Therapist | 1001 Van Buren Ave Ste 3, Indian Trail, NC 28079-5541 | 2020-07-28 |
| 1730644535 | Carla Kay Pegram | Physical Therapist | 1001 Van Buren Ave Ste 3, Indian Trail, NC 28079-5541 | 2019-02-05 |
| 1356722607 | Allison Marie Bell | Physical Therapist | 1001 Van Buren Ave Ste 3, Indian Trail, NC 28079-5541 | 2015-06-12 |
| 1013337062 | Lorenzo Luis Morales | Specialist/Technologist | 1001 Van Buren Ave Ste 3, Indian Trail, NC 28079-5541 | 2014-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992297485 | Carolina Cala | Community/Behavioral Health | 3817 Balsam St, Indian Trail, NC 28079 | 2018-05-31 |
| 1992294805 | Dr Patel & Associates, Pa | Clinic/Center | 6046 W Highway 74, Indian Trail, NC 28079 | 2018-05-07 |
| 1306389085 | Creative Counseling and Consulting, LLC | Counselor | 4389 Indian Trail-fairview Road, Indian Trail, NC 28079 | 2016-11-29 |
| 1922481381 | Aakar Gaurang Chokshi | Dentist | 5850 W Highway 74 Ste 135, Indian Trail, NC 28079 | 2015-07-02 |
| 1881944536 | Francy Johana Rodriguez | Naturopath | 124 Unionville Indian Trail Rd W Ste A9, Indian Trail, NC 28079 | 2012-09-10 |
| 1669767653 | Leigh Ann Zimmerman Tasillo | Psychologist | 124 Unionville-indian Trail Rd., Suite B3, Indian Trail, NC 28079 | 2011-06-17 |
| 1679715650 | Indian Trail Chiropractic & Rehabilitation, Pa | Chiropractor | 100 Park Road East, Indian Trail, NC 28079 | 2009-04-06 |
| 1003079518 | Shemeeka L Mcfadden | Optometrist | 5850 Us-74, Unit 116, Indian Trail, NC 28079 | 2008-07-03 |
| 1023290046 | Gary Lee Vaughn | Technician/Technologist | 622 Indian Trail Rd, Indian Trail, NC 28079 | 2007-11-30 |
| 1750574331 | Susana C Junco | Dentist | 136 Indian Trail Rd, Indian Trail, NC 28079 | 2007-08-27 |
| Find all providers in zip 28079 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588844708 | Joseph J Tedesco | Physical Therapist | 1001 Van Buren Ave Ste 3, Indian Trail, NC 28079-5541 | 2007-11-05 |
| 1104435965 | Brianna Mandry | Physical Therapist | 1001 Van Buren Ave Ste 3, Indian Trail, NC 28079-5541 | 2020-07-28 |
| 1730644535 | Carla Kay Pegram | Physical Therapist | 1001 Van Buren Ave Ste 3, Indian Trail, NC 28079-5541 | 2019-02-05 |
| 1598013922 | Nathan Ryan Adamczak | Physical Therapist | 1001 Van Buren Ave, Suite 3, Indian Trail, NC 28079-5541 | 2012-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438292 | Letizia B Migliaccio | Physical Therapist | 3726 Battleground Ave # B, Greensboro, NC 27410-2344 | 2020-05-11 |
| 1396371787 | Teresa Blake Robertson Elder | Physical Therapist | 120 Grandview Ave, Brevard, NC 28712-4727 | 2020-03-17 |
| 1821650367 | Peak Pelvic Health Physical Therapy, LLC | Physical Therapist | 160 Macgregor Pines Dr Ste 101, Cary, NC 27511-6037 | 2019-07-05 |
| 1679132690 | Demario Sharrod Lewis | Physical Therapist | 200 W Woodcroft Pkwy Apt 62b, Durham, NC 27713-8086 | 2019-06-12 |
| 1679032866 | David James Lawton | Physical Therapist | 101 E W T Harris Blvd Ste 5001, Charlotte, NC 28262-3574 | 2019-03-18 |
| 1497211643 | Mackenzie Gilliss | Physical Therapist | 703 N Us 29 Hwy, China Grove, NC 28023-2617 | 2019-02-13 |
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1730658253 | Smart Athlete Physiotherapy, LLC | Physical Therapist | 1017 E Whitaker Mill Rd, Raleigh, NC 27608-2757 | 2018-11-14 |
| 1366927659 | Judy Larose Foxworth | Physical Therapist | 601 S Mlk Jr Drive F L Atkins Bldg Rm 333, Winston Salem, NC 27110-0001 | 2018-10-02 |
| 1063905065 | Gabriela Perez | Physical Therapist | 5920 Sandy Forks Rd, Raleigh, NC 27609-3814 | 2018-06-13 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN TRAIL |
| Zip Code | 28079 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.