Dominic Hicks, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

216711 Issued in TX

Practice address

14235 Riata LN
Dallas, TX 75253-4930

Phone

(972) 768-1569

NPI assigned

Mar 10, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1285219378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14235 RIATA LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752534930",
            "telephone_number": "972-768-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14235 RIATA LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752534930",
            "telephone_number": "972-768-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "DOMINIC",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "216711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Hicks, MS, APRN, WHNP-BC,
• Cillora Hicks, CRNA
• Corneshia Hicks
• Courtney Ann Hicks, LMFT - SUPERVISOR
• Craig Hicks
• Donna June Hicks, N.D
• Glaster Wheeler Hicks
• Hadlee Hicks
• Jocelyn Marie Hicks, LCSW
• Kismit Hicks, SLP

• Occupational Therapy Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.