Jillian Therese Childs, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14289 Issued in TN

Practice address

1932 Falling Waters Rd
Knoxville, TN 37922-6764

Phone

(865) 406-7129

Fax

(865) 951-7273

NPI assigned

Jul 4, 2022

Last updated

Jul 15, 2022By 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 names 1

• Jillian Schafer Former name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Servant Rehabilitation IncGroup PAC ID 5395168629, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Servant Rehabilitation, Inc.

  • Physical Therapist
  • Hendersonville, NC
  • NPI 1851911713

  TN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1952034365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 HERITAGE CIR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913553",
            "telephone_number": "828-713-0560",
            "fax_number": "865-951-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 FALLING WATERS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226764",
            "telephone_number": "865-406-7129",
            "fax_number": "865-951-7273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Prosperity Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234702",
            "country_code": "US",
            "telephone_number": "865-406-7129",
            "fax_number": "865-951-7273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "JILLIAN",
        "middle_name": "THERESE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "SCHAFER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Childhelp, Inc.
• Children's Dentistry of Knoxville, LLC
• Children's West Surgery Center
• Hannah Mariah Childress, B.S.
• Christina M Childs
• Joseph F. Childs, M.D.
• Virginia Ewing Childs, LCSW
• Melissa Cole Chiles, MD
• Walter W Chiles III, M.D.
• Hollis Chillura

• Physical Therapist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.