Kimberly Ann Childers, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002175 Issued in KY

Practice address

1222 Woodland Dr
Elizabethtown, KY 42701-2710

Phone

(270) 234-1569

NPI assigned

Dec 1, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Associates, IncGroup PAC ID 4880591270, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical Therapy Associates, Inc

  • Physical Therapist
  • Elizabethtown, KY
  • NPI 1336246412
  Medicare reassignment Care Compare group NPD
• Physical Therapy Associates Inc

  • Physical Therapist
  • Mt Washington, KY
  • NPI 1902770530
  NPD
• Physical Therapy Associates Inc

  • Physical Therapist
  • Hodgenville, KY
  • NPI 1366658106
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1043920952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FAIRWAY DR",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "427489772",
            "telephone_number": "270-735-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012710",
            "telephone_number": "270-234-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Cheney, PSY.D.
• Deanna Rose Chesser, CSW
• Jason Cheung
• Katie Chheang
• Amber Michelle Childers, APSS
• Children1St
• Chiropractic Health Center of Elizabethtown PLLC
• Chris Nichols Dental PLLC
• Paul H Christensen, MD
• Diana Christopher, RN

• Physical Therapist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.