Active NPI
Nadine R Hickey, PTA
- Physical Therapy Assistant
- Center Ossipee, NH
National Provider Identifier
1245449073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 0520
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3433 | MA | MD | Registered Dietitian |
| PTA20746 | FL | MD | Physical Therapy Assistant |
| PA2822 | ME | MD | Physical Therapy Assistant |
| 0520 | NH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Mountain View Nursing Home
- Skilled Nursing Facility
- Ossipee, NH
- NPI 1902892466
-
- Optometrist
- Conway, NH
- NPI 1770862716
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.