P Praxis·MD
● Active Type 1 · Individual

Nicholas Avery Child

Physical Therapy Assistant·Jesup, GA· NPI 1558885814 · Enumerated 2017 · 8 years on NPI
Child is 1 of 7 physical therapy assistant providers in Jesup and 1 of 1124 in Georgia.
NPI age
8 years
Enumerated 2017-07-28
Primary specialty
Physical Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-03-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1124 active physical therapy assistant providers in Georgia.

NPI age
8 years
≈ at median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-07Enumerated in NPPES
2017 2026

Where they practice

Practice location
1251 S 1st St
Jesup, GA 315457729
📞 9125592071
Mailing address
4519 Walter Griffis Rd
Odum, GA 315558802

Additional practice locations

1 secondary location on file with NPPES.

Location 2
865 S 1st St
Jesup, GA 315450210
📞 9125303184

Specialties

  • Physical Therapy Assistant Primary
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    GA license #PTA003613 taxonomy 225200000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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