Kristen Ann Roden-Hicks, PTA, LATC,

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A2402 Issued in MD

Practice address

9501 Old Annapolis Rd
125
Ellicott City, MD 21042-6314

Phone

(410) 997-1063

Fax

(410) 997-1408

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1003037482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 125",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426355",
            "telephone_number": "410-997-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD",
            "address_2": "125",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426314",
            "telephone_number": "410-997-1063",
            "fax_number": "410-997-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEN-HICKS",
        "first_name": "KRISTEN",
        "middle_name": "ANN",
        "credential": "PTA, LATC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robinson'S Allied Health Professionals
• Philip Dean Robison, PH.D.
• Mallory Elaine Roby, M.S. CCC-SLP
• Yang Ao Roby, M.D.
• Ann Rochford, LCSW-C
• Aubrey Roesener
• Roger Miles LLC
• Antonia Giovino Rogers
• Gerald Rogers
• Sunyung Roh

• Physical Therapy Assistant in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.