Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Angela Nicole Childress, DPT

Individual provider Physical Therapist · NPI 1366721490

Mrs. Angela Nicole Childress, DPT is a Physical Therapist in Private Practice in Lebanon, Missouri. Qualified in 2010, 16 years ago. Practices with Empowerme Rehabilitation Missouri LLC, a 206-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
16
Licensed in
MO
In the registry since
2011
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

331 Hospital Dr Ste D
Lebanon, MO 65536-9251
Phone: (417) 533-6315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2010028886 (MO)

Record details

NPI number1366721490
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 7, 2011
Last updated in NPPESAugust 7, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Empowerme Rehabilitation Missouri Llc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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