Amy Rebecca Childs, BSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5829 Issued in TN

Practice address

4886 Port Royal Rd
Ste. 180
Spring Hill, TN 37174-2975

Phone

(931) 499-7350

Fax

(931) 499-7351

NPI assigned

Mar 29, 2006

Last updated

Jan 8, 2016By the provider in NPPES

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

Other identifiers 1

Other names 1

• Miss Amy Rebecca Cretin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: amy.childs.p1@direct.toa.nextgenshare.com
• Direct secure messaging: amy.childs.p2@direct.toa.nextgenshare.com
• Direct secure messaging: amy.childs.p3@direct.toa.nextgenshare.com

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1063473080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4886 PORT ROYAL RD",
            "address_2": "STE. 180",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371742975",
            "telephone_number": "931-499-7350",
            "fax_number": "931-499-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "AMY",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "BSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3650115",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CRETIN",
            "middle_name": "REBECCA",
            "prefix": "MISS",
            "credential": "BSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.