Claye W Childers, PTA
Physical Therapy Assistant in Southaven, MS. Individual provider (NPI-1).
NPI number1508679309
StatusActive
Last updated in NPPESJan 28, 2025
Details
- NPI
- 1508679309
- Entity type
- Individual (NPI-1)
- Name
- Claye W Childers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2025
- Certification date
- Jan 28, 2025
- Last updated
- Jan 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 7909 | MS | Yes |
Practice location
7111 Southcrest Pkwy Ste 105Southaven, MS 38671-4851
Phone 901-261-2506 · Fax 901-261-2590
Mailing address
6077 Primacy Pkwy Ste 140Memphis, TN 38119-5754
Phone 901-725-8347 · Fax 901-259-7637
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Southaven, MS
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- Nicholas Martin Harris, PTANPI 1306350640
- Stacy L Holder, PTA09NPI 1649554890
- Antonio HughesNPI 1144844838
- Antonio McCallNPI 1093355752
All 15 Physical Therapy Assistant providers in Southaven · All 1,578 providers in Southaven
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