Individual provider Active NPI

Carol-Anne H Hicks, DPT

  • Physical Therapist
  • Norwalk, CT
National Provider Identifier
1164946497
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11497 Issued in CT
Practice address
761 Main Ave Ste 115
Norwalk, CT 06851-1080
Phone
(203) 845-2987
Fax
(203) 840-0468
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11497 CT Primary

Addresses

Primary practice location

761 Main Ave Ste 115
Norwalk, CT 06851-1080

Mailing address

761 Main Ave Ste 115
Norwalk, CT 06851-1080
Phone (203) 845-2987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901002128 CT Practitioner - Physical Therapist in Private Practice 9537432141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

761 Main Ave
Suite 115
Norwalk, CT 06851-1080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Protea Physical Therapy & Wellness LLC Current Accepting new patients
Hand Therapy Associates, Inc Physical Therapist CurrentSince Dec 1, 2018 Accepting new patients
Hand Therapy Associates, Inc Physical Therapist CurrentSince Dec 1, 2018 Accepting new patients
Carlson Therapy Network, PC Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients

Locations

2 Riverview Dr
Danbury, CT 06810
Phone (203) 798-9702

816 Broad St
Meriden, CT 06450
Phone (203) 238-1334

6 Shaws Cv
Ste 101
New London, CT 06320
Phone (860) 444-9022

116 Danbury Rd
New Milford, CT 06776
Phone (203) 794-6331

116 Danbury Rd
Ste 5
New Milford, CT 06776
Phone (860) 354-7605

761 Main Ave
Ste 115
Norwalk, CT 06851
Phone (203) 545-2200

761 Main Ave
Norwalk, CT 06851
Phone (203) 845-2160

51 N Main St
Ste 3G
Southington, CT 06489
Phone (203) 389-8177

323 Riverside Ave
Westport, CT 06880
Phone (203) 226-1027

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164946497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE STE 115",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-845-2987",
            "fax_number": "203-840-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE STE 115",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-845-2987",
            "fax_number": "203-840-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "CAROL-ANNE",
        "middle_name": "H",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.