Active NPI
Brooke Hickox
- Behavior Technician
- Brandon, FL
National Provider Identifier
1265994602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1140 Kyle Wood LN
Brandon, FL 33511-4850 - Phone
- (813) 548-1009
- NPI assigned
- Apr 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1140 Kyle Wood LN
Brandon, FL 33511-4850
Mailing address
10411 Cardera Dr
Riverview, FL 33578-4072
Other practice location 1
138 W Highland Rd Ste 500-600
Howell, MI 48843-2170
Phone (517) 376-4831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H220074966840 | Other | FL | DRIVER'S LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bhickox@flautism.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leaps and Bounds Therapy Services L.L.C. | Behavior Technician | Past | Accepting new patients |
| Northern Physical Therapy PC | 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 and National Provider Directory roles.
-
- Behavior Analyst
- Howell, MI
- NPI 1275008401
Behavior Technician
-
- Physical Therapy Clinic/Center
- Lyndonville, VT
- NPI 1164509980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1265994602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10411 CARDERA DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335784072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 KYLE WOOD LN",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114850",
"telephone_number": "813-548-1009"
}
],
"practiceLocations": [
{
"address_1": "138 W Highland Rd Ste 500-600",
"address_purpose": "LOCATION",
"city": "Howell",
"state": "MI",
"postal_code": "488432170",
"country_code": "US",
"telephone_number": "517-376-4831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKOX",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "H220074966840",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bhickox@flautism.com",
"affiliation": "N",
"address_1": "1140 Kyle Wood Ln",
"city": "Brandon",
"state": "FL",
"country_code": "US",
"postal_code": "335114850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.