Active NPI
Jordyn Hicks
- Occupational Therapist
- New Harmony, IN
National Provider Identifier
1003278326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31005931A
- Practice address
- 251 Highway 66
New Harmony, IN 47631-9075 - Phone
- (812) 682-4105
- NPI assigned
- Mar 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31005931A | IN | Primary |
Addresses
Primary practice location
251 Highway 66
New Harmony, IN 47631-9075
Mailing address
693 E 1250 S
Haubstadt, IN 47639-8709
Phone (812) 632-1345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31005931A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458864000000",
"number": "1003278326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "693 E 1250 S",
"city": "HAUBSTADT",
"state": "IN",
"postal_code": "476398709",
"telephone_number": "812-632-1345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 HIGHWAY 66",
"city": "NEW HARMONY",
"state": "IN",
"postal_code": "476319075",
"telephone_number": "812-682-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "JORDYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-25",
"last_updated": "2016-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31005931A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Harmony, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.