Active NPI
Thomas Clay Childers, PT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1437708385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19077
- Practice address
- 8705 Phillips Road
Charlotte, NC 28223-0001 - Phone
- (704) 687-1829
- NPI assigned
- Sep 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P19077 | NC | Primary |
Addresses
Primary practice location
8705 Phillips Road
Charlotte, NC 28223-0001
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
9726 Sam Furr Rd
Huntersville, NC 28078-8218
Phone (704) 863-4878
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tchilders2798151@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P19077 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Rehabilitation | Past | Accepting new patients | |
| Atrium Health Specialty Network Inc | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- tchilders2798151@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 2
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.
-
- Dermatology Physician
- Charlotte, NC
- NPI 1538975636
Physical Therapist
-
- Clinic/Center
- Huntersville, NC
- NPI 1407893944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1437708385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8705 PHILLIPS ROAD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282230001",
"telephone_number": "704-687-1829"
}
],
"practiceLocations": [
{
"address_1": "9726 Sam Furr Rd",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280788218",
"country_code": "US",
"telephone_number": "704-863-4878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHILDERS",
"first_name": "THOMAS",
"middle_name": "CLAY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-04",
"last_updated": "2024-07-15",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19077",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tchilders2798151@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "8705 Phillips Road",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282230001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
- Child and Family Development Inc.
- Child and Family Development Inc.
- Child Speak, Too, Inc.
- Avri Childers, M.S., CCC-SLP
- Janet E. Childers, CRNA
- Children Are the Future
- Children'S & Family Counseling Services, PC
- Children'S Advocacy Center of Charlotte
- Children'S Therapy & Tutoring Associates, PLLC
- Children'S Urology of the Carolinas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.