Active NPI
John B Hicks, MS, ATC, CSCS
- Athletic Trainer
- Ottawa, OH
National Provider Identifier
1124114939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001093
- Practice address
- 1880 N Perry Street Suite 100
Ottawa, OH 45875 - Phone
- (419) 523-9003
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 001093 | OH | Primary |
Addresses
Primary practice location
1880 N Perry Street Suite 100
Ottawa, OH 45875
Mailing address
229 Elm Street
Findlay, OH 45840
Phone (419) 427-1337
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001093 | OH | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Physical Therapy, Inc. | Athletic Trainer | Past | Accepting new patients |
| Morman Family Chiropractic, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Ottawa, OH
- NPI 1760730790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124114939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 ELM STREET",
"city": "FINDLAY",
"state": "OH",
"postal_code": "45840",
"telephone_number": "419-427-1337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 N PERRY STREET SUITE 100",
"city": "OTTAWA",
"state": "OH",
"postal_code": "45875",
"telephone_number": "419-523-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "JOHN",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "MS, ATC, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "001093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ottawa, OH
Sources for this page
- 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.