Active NPI
Cassandra Grace Hicks, MA
- Speech-Language Pathologist
- Boca Raton, FL
National Provider Identifier
1043817836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ9543
- Practice address
- 5458 Town Center Rd Ste 1
Boca Raton, FL 33486-1026 - Phone
- (561) 376-2573
- NPI assigned
- Oct 5, 2020
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ9543 | FL | Primary |
Addresses
Primary practice location
5458 Town Center Rd Ste 1
Boca Raton, FL 33486-1026
Mailing address
19754 Black Olive LN
Boca Raton, FL 33498-4854
Phone (386) 585-0240
Other practice location 1
3898 Via Poinciana Ste 17
Lake Worth, FL 33467-2951
Phone (561) 376-2573
Other practice location 2
2230E W Atlantic Ave
Delray Beach, FL 33445-4637
Phone (561) 376-2573
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.ppt4kids.com | Progressive Pediatric Therapy, Inc. |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ9543 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1043817836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19754 BLACK OLIVE LN",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334984854",
"telephone_number": "386-585-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5458 TOWN CENTER RD STE 1",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861026",
"telephone_number": "561-376-2573"
}
],
"practiceLocations": [
{
"address_1": "3898 Via Poinciana Ste 17",
"address_purpose": "LOCATION",
"city": "Lake Worth",
"state": "FL",
"postal_code": "334672951",
"country_code": "US",
"telephone_number": "561-376-2573",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2230E W Atlantic Ave",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334454637",
"country_code": "US",
"telephone_number": "561-376-2573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "CASSANDRA",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-05",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ9543",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.ppt4kids.com",
"affiliation": "Y",
"affiliationName": "Progressive Pediatric Therapy, Inc.",
"address_1": "5458 Town Center Rd Ste 1",
"city": "Boca Raton",
"state": "FL",
"country_code": "US",
"postal_code": "334861026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.