KIMBERLY ANN CHILDERS (PT) – Physical Therapist, NPI 1043920952

KIMBERLY ANN CHILDERS (PT) is a healthcare provider. based in Hodgenville, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 002175 (KY). The NPI Number for KIMBERLY ANN CHILDERS (PT) is 1043920952

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANN CHILDERS (PT)
NPI
1043920952
Phone
(270) 735-1159
Address
112 FAIRWAY DR
Enumeration Date
1 December 2022
Last Update Date
1 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2702341569
Graduation Year
1991 (35 years ago)
PAC ID
0941666523
Group Practice PAC ID
4880591270
Professional Enrollment ID
I20230524001991
Address ID
KY427012710EL1222XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,253 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

Provider Addresses for KIMBERLY ANN CHILDERS (PT)

  • 112 FAIRWAY DR

    HODGENVILLE, KY 427489772

    Phone: (270) 735-1159

    Type: Mailing

  • 1222 WOODLAND DR

    ELIZABETHTOWN, KY 427012710

    Phone: (270) 234-1569

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230524001991IPhysical Therapist In Private PracticeKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes413114$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes339105$0
97140Therapy procedure using manual technique, each 15 minutes20468$0
97116Therapy procedure for walking training, each 15 minutes14852$0
97530Therapy procedure using functional activities9147$0
View full utilization report →

Insurance plans in this area (ZIP 42748)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880591270View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for KIMBERLY ANN CHILDERS (PT)?
KIMBERLY ANN CHILDERS (PT) — NPI 1043920952 — is the standard way to identify this listing.
Does the file indicate KIMBERLY ANN CHILDERS (PT) is practicing under active NPI?
Directory data currently reports KIMBERLY ANN CHILDERS (PT) as active.
What is KIMBERLY ANN CHILDERS (PT)'s specialty?
The listing groups KIMBERLY ANN CHILDERS (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for KIMBERLY ANN CHILDERS (PT)?
KIMBERLY ANN CHILDERS (PT)'s geographic hint is Hodgenville, Kentucky in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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