John D. Childs, PT, PHD, OCS, FAAOMP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-013320-L Issued in PA

Practice address

2200 Bergquist Dr
Wilford Hall Medical Center - 59TH Medical Wing
Lackland Afb, TX 78236-5300

Phone

(210) 292-0303

NPI assigned

Jun 27, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508062308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 MELVILLE LN",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541140",
            "telephone_number": "210-364-7410",
            "fax_number": "210-579-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "address_2": "WILFORD HALL MEDICAL CENTER - 59TH MEDICAL WING",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782365300",
            "telephone_number": "210-292-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "JOHN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PT, PHD, OCS, FAAOMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-013320-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Cavazos, LCSW
• Nathan Cecava, MD
• Elizabeth Marie Cervantes, RBT
• Patricia Escareno Cervantes, COA
• Wayne Clark Cheatum, R. PH.
• Shanequia Deshawn Clemons
• Herman Shermaine Clincy Jr., HEALH SERVICES TECH
• Margaret Bonnie Cole, PHARM.D.
• Paula Corrigan
• Laura Cosimi, MD

• Physical Therapist in Lackland Afb, TX
• Providers in Lackland Afb, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.