Renee Lynn Hicks, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009480 Issued in OH

Practice address

2 Berea CMNS Ste 10
Berea, OH 44017-2535

Phone

(440) 973-4950

Fax

(440) 973-4951

NPI assigned

Jan 17, 2023

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bedford Physical Therapy & Fitness Services LLC

  • Physical Therapist
  • Berea, OH
  • NPI 1457881740
  NPD

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1013622711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BEREA CMNS STE 10",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172535",
            "telephone_number": "440-973-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BEREA CMNS STE 10",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172535",
            "telephone_number": "440-973-4950",
            "fax_number": "440-973-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "RENEE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT009480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandie Lea Hebb
• April Heidenhoffer, PHARMD
• Robert J Heidl, LISW
• Cynthia Libeth Hernandez, LSW
• William Hesse, PT
• Kallie Lin Hinspeter, PA-C
• Rachael Holder, CT
• Kathleen A Holler
• Jessalyn Antoinette Hollopeter
• Kyrah Hopper, QMHSBA,CMSBA

• Physical Therapist in Berea, OH
• Providers in Berea, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.