Mary Childress
NPI 1033580980ActiveIndividual· Physical Therapist· Draper, UT
Physical Therapist in Draper, Utah, licensed in SC, IN, MA and FL and other states, with an NPI issued in October 2015.
Overview
| NPI | 1033580980 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 16, 2015 |
| Last updated in NPPES | Jun 20, 2024 |
| Certified by provider | Jun 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 7971 | SC |
| Physical Therapist | 225100000X | 05014416A | IN |
| Physical Therapist | 225100000X | — | — |
| Physical Therapist | 225100000X | 000025951 | MA |
| Physical Therapist | 225100000X | 37906 | FL |
| Physical Therapist | 225100000X | PTH10588 | AL |
| Physical Therapist | 225100000X | 048155 | NY |
| Physical Therapist | 225100000X | 019570 | OH |
| Physical Therapist | 225100000X | 030109 | PA |
| Physical Therapist | 225100000X | 040-0134309 | VT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 155 physical therapists in Draper · All physical therapists in Utah