Callee Grace Hixson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A03813 Issued in KY

Practice address

200 Tower Cir
Somerset, KY 42503-3480

Phone

(606) 416-5139

NPI assigned

Jun 12, 2019

Last updated

Oct 16, 2019By 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)

Not enrolled

State licenses

Practice roles

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.

• The Kid Spot Center

  • Speech-Language Pathologist
  • Campbellsville, KY
  • NPI 1104146109
  NPD (past)
• The Kid Spot Center

  • Speech-Language Pathologist
  • Elizabethtown, KY
  • NPI 1710307152
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1235798216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 THOMAS RIDGE RD",
            "city": "DUNNVILLE",
            "state": "KY",
            "postal_code": "425286472",
            "telephone_number": "606-706-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TOWER CIR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033480",
            "telephone_number": "606-416-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXSON",
        "first_name": "CALLEE",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A03813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharen Hill, IECE
• Allison Hines
• Kaitlyn Hines
• Kevin A Hinson, DO
• Emiley Beth Hislope
• Carissa Hobdy
• Armina Jo Hoeck
• Kelsey Dawn Hogue, CPSS,CSA
• Lucas Daniel Holcomb, CRNA
• Molly Jo Holcomb, DO

• Physical Therapy Assistant in Somerset, KY
• Providers in Somerset, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.