Kristen Robertson Hicks, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305202458 Issued in VA

Practice address

2000 Bremo Rd
Richmond, VA 23226-2440

Phone

(804) 285-0148

Fax

(804) 673-6026

NPI assigned

Jul 12, 2006

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

Other names 1

• Miss Kristen Kathleen Robertson Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Physical Therapy IncGroup PAC ID 0648309799, 5 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Orthopedic Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Richmond, VA
  • NPI 1376536441
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1275568438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BREMO RD STE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262440",
            "telephone_number": "804-285-0148",
            "fax_number": "804-673-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BREMO RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262440",
            "telephone_number": "804-285-0148",
            "fax_number": "804-673-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KRISTEN",
        "middle_name": "ROBERTSON",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ROBERTSON",
            "middle_name": "KATHLEEN",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth S Hickey, M.D.
• Maureen O'Brien Hickey, PHARMD
• Allison J Hickman, DO
• Clifton C Hickman, MD
• Derwin L Hickman Sr., M. DIV, QMHP-C
• Rasha Hicks
• Sarah Stephenson Hicks
• Selena Hicks, MA, ATR-BC, ITR-CTS
• Sharron Denise Hicks, CTRS
• Sabrina Hidalgo-Ahmed, MD

• Physical Therapist in Richmond, VA
• Providers in Richmond, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.