Active NPIIndividual provider

Kayin Childress, PTA

Physical Therapy Assistant in Trenton, New Jersey

NPI Number1629960513
Practice location
200 Charles Ewing Blvd Ste 170, Trenton, NJ 08628-3451
Fax
—
Last updated
July 16, 2025

Kayin Childress is a Physical Therapy Assistant based in Trenton, NJ. Kayin Childress practices in Trenton, NJ and has the professional credentials of PTA. The NPI Number for Kayin Childress is 1629960513 and holds a License No. 40QB00425400 (NJ). The current practice location address for Kayin Childress is 200 Charles Ewing Blvd Ste 170, Trenton, NJ 08628-3451 and can be reached out via phone at 609-924-8131.

Provider Profile Details

NPI Number
1629960513
Provider Name
Kayin Childress
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
200 Charles Ewing Blvd Ste 170, Trenton, NJ 08628-3451
Phone Number
609-924-8131
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2025
Last Update Date
July 16, 2025
Certification Date
July 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Charles Ewing Blvd Ste 170
Trenton, NJ 08628-3451
Zip
08628-3451
Phone Number
609-924-8131
Trenton, NJ 08628Get directions →

Provider Business Mailing Address Details

Address
263 Windsor Cmns
East Windsor, NJ 08512-2527
City
East Windsor
State
NJ
Zip
08512-2527

License Information

License Number
40QB00425400
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kayin Childress, PTA?

The NPI number of Kayin Childress, PTA is 1629960513. It was assigned on July 16, 2025 and is currently active in the NPPES registry.

What is the specialty of Kayin Childress, PTA?

Kayin Childress, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00425400.

Where does Kayin Childress, PTA practice?

The practice location is 200 Charles Ewing Blvd Ste 170, Trenton, NJ 08628-3451. The office can be reached at 609-924-8131 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629960513 directly on the NPPES registry website.

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