Individual provider Active NPI

Nadine R Hickey, PTA

  • Physical Therapy Assistant
  • Center Ossipee, NH
National Provider Identifier
1245449073
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0520 Issued in NH
Practice address
10 County Farm Rd.
Center Ossipee, NH 03814
Phone
(603) 539-7511
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0520 NH Primary
Physical Therapy Assistant 225200000X 3433 MA
Physical Therapy Assistant 225200000X PA2822 ME
Physical Therapy Assistant 225200000X PTA20746 FL

Addresses

Primary practice location

10 County Farm Rd.
Center Ossipee, NH 03814

Mailing address

419 Belleau Blvd.
East Wakefield, NH 03830
Phone (603) 941-0951

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

State licenses

LicenseStateTypeSpecialty
3433MAMDRegistered Dietitian
PTA20746FLMDPhysical Therapy Assistant
PA2822MEMDPhysical Therapy Assistant
0520NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Carroll Past Accepting new patients
Realeyes Eye Care, 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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245449073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 BELLEAU BLVD.",
            "city": "EAST WAKEFIELD",
            "state": "NH",
            "postal_code": "03830",
            "telephone_number": "603-941-0951",
            "fax_number": "603-941-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COUNTY FARM RD.",
            "city": "CENTER OSSIPEE",
            "state": "NH",
            "postal_code": "03814",
            "telephone_number": "603-539-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "NADINE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NH",
            "license": "0520",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "3433",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA2822",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Ossipee, NH

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.

Verify at the official NPI Registry.