Anna Hicks

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT007951 Issued in GA

Practice address

1230 Johnson Ferry PL Ste G10
Marietta, GA 30068-2045

Phone

(770) 321-6705

NPI assigned

Dec 27, 2020

Last updated

Feb 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapeutic Speech and Language Services Inc.

  • Speech-Language Pathologist
  • Atlanta, GA
  • NPI 1538592530
  NPD

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1295322139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 N HIGHLAND AVE NE APT 3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063561",
            "telephone_number": "404-376-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL STE G10",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682045",
            "telephone_number": "770-321-6705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Ponce De Leon Pl",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300305122",
            "country_code": "US",
            "telephone_number": "404-932-0696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-27",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT007951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Atlanta",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "993 N Highland Ave NE Apt 3",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303063561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tamara D Hester, O.D.
• Sam Heys, LPC
• Hi-Tech Healthcare Inc.
• Jessica Hickinbotham, PT, MPT
• Hicks Counseling, LLC (The Attached Counseling Collective)
• Charles P Hicks, CRNA
• Chase Hicks, DC
• Jacob Hicks, LPC
• Loretta Hicks, M.D.
• Victoria Marie Hicks

• Pediatric Occupational Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.