Jordana Hicks, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3232 Issued in ME

Practice address

840 Hammond St Ste 2
Bangor, ME 04401-4388

Phone

(207) 433-7778

Fax

(866) 220-5031

NPI assigned

Aug 16, 2022

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Female

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

Locations

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.

• Apex Interventional Pain Specialists PC

  • Pain Medicine (Anesthesiology) Physician
  • Bangor, ME
  • NPI 1306639232
  NPD

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1184342149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 HAMMOND ST STE 2",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014388",
            "telephone_number": "207-433-7778",
            "fax_number": "866-220-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 HAMMOND ST STE 2",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014388",
            "telephone_number": "207-433-7778",
            "fax_number": "866-220-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JORDANA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT3232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Elaine Hertlein, MT-BC
• Avery Devin Herzog, LMSW-CC
• David Hessert, CRNA
• Daniel Hetherman, M.D.
• Bonnie L Heyer, MD ANESTHESIOLOGIST
• Pip Hidestrand, M.D.
• Deborah H Higgins, ANP
• Jesse M. Higgins, PMHNP
• Kristy L Higgins, RDH
• James Hildebrand, M.D.

• Occupational Therapist in Bangor, ME
• Providers in Bangor, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.