Brian Richard Hickey

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01177000 Issued in NJ

Practice address

743 Alexander Road
Suite 2
Princeton, NJ 08540-6328

Phone

(609) 419-0455

Fax

(609) 419-0023

NPI assigned

Nov 8, 2006

Sex

Male

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

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.

• Sports Physical Therapy Institute,PA

  • Physical Therapist
  • Flemington, NJ
  • NPI 1952471112
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033289293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "THREE BRIDGES",
            "state": "NJ",
            "postal_code": "088870310",
            "telephone_number": "908-806-2645",
            "fax_number": "908-806-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 ALEXANDER ROAD",
            "address_2": "SUITE 2",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406328",
            "telephone_number": "609-419-0455",
            "fax_number": "609-419-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "BRIAN",
        "middle_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01177000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Herc, M.S. CCC-SLP
• Gary Alan Herman, M.D.
• Olga C Hernandez, RN, MSN
• Ellen Herr-Israel
• Harriet E Herzberg, O.D.
• Laura Hildebrant, D.O.
• Bryan E Hill, APN
• Catherine Marie Hill, M.S., BCBA
• Joanne Hirsch, MA,NCC,LPC
• Jennifer Hirsh, MD

• Physical Therapist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.