TANYA MARIE CHILDRESS
NPI 1093840134
Rehabilitation Practitioner in San Bernardino, CA

Q: What is Tanya Childress's NPI number?

The NPI number for Tanya Childress is 1093840134. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Q: What is Tanya Childress's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Tanya Childress was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 22, 2007

572 N ARROWHEAD AVE, SAN BERNARDINO, CA 92401(909) 659-5834 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2026, Jul 8, 2025, Jun 16, 2023 and 1 more (4 updates tracked since 2023).

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About Tanya Marie Childress NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANYA MARIE CHILDRESS (NPI 1093840134) is an individual rehabilitation practitioner in San Bernardino, California and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1093840134

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameTANYA MARIE CHILDRESS

Location Address572 N ARROWHEAD AVESan Bernardino, CA 92401-1251

Mailing Address572 N Arrowhead AveSan Bernardino, CA 92401-1251 · (909) 659-5834

Phone(909) 659-5834

Sole ProprietorNo

Enumeration DateFebruary 22, 2007

Last NPPES UpdateJanuary 6, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1093840134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

572 N ARROWHEAD AVE, San Bernardino, CA 92401

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA MARLENE RODRIGUEZ

Case Manager/Care Coordinator