Christopher Aaron Hicks, P.T.
Individual provider Active NPI Physical Therapist · Bridgeport, TX
NPI 1124153010 · NPPES record last updated Mar 23, 2023
Key facts
- NPI
- 1124153010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1172223 (TX)
- Practice address
- 1116 Halsell St
Bridgeport, TX 76426-3000 - Phone
- (940) 683-5575
- Fax
- (866) 210-0568
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Foundation Therapy LLC
Practice addresses (Care Compare)
1116 Halsell St
Bridgeport, TX 76426-3000
Phone (940) 393-5575
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151015000775 | TX | Practitioner - Physical Therapist in Private Practice | 8628387511 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Therapy LLC | Current |
Accepting new patients |
Locations
1116 Halsell St
Bridgeport, TX 76426
Phone (940) 393-5575
707 Woodrow Wilson Ray Cir
Bridgeport, TX 76426
Phone (940) 393-5575
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1172223 | TX | Yes |
Addresses
Primary practice location
1116 Halsell St
Bridgeport, TX 76426-3000
Mailing address
1116 Halsell St
Bridgeport, TX 76426-3000
Phone (940) 683-5575
Other providers in Bridgeport, TX
- Vincent Anthony Feller
- Foundation Therapy LLC
- Julie Gold-Morgan
- Stephen Lee Hanson
- Heart Health Clinic PLLC
- Homecarelink LTD
- Amber Hussman
- Infinity Laboratories, LLC
- Jacob Mayberry Assisting Services
- Gary Wayne Jessup
All providers in Bridgeport, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.