Shalon Hickle, DPT

Individual provider Active NPI Physical Therapist · Inwood, WV

NPI 1316285455 · NPPES record last updated Mar 24, 2021

Key facts

NPI
1316285455
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
003531 (WV)
Practice address
8543 Winchester Ave
Inwood, WV 25428-4022
Phone
(304) 229-1010
Fax
(304) 229-5151
NPI assigned
Jan 24, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rankin Physical Therapy LLC (14 clinicians)

Practice addresses (Care Compare)

1008 Tavern Rd
Suite 200
Martinsburg, WV 25401-2801
Phone (304) 267-0866

Merit-based Incentive Payment System (MIPS)

Final score
81.9 of 100 (group)
Quality
68.22
Promoting interoperability
92
Improvement activities
40
Cost
78.1

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WV

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20171228000118 WV Practitioner - Physical Therapist in Private Practice 4981840030 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT016481PAMDPhysical Therapist
2305207786VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rankin Physical Therapy LLC Physical Therapist Current
since Aug 24, 2015
Accepting new patients
Rankin Physical Therapy LLC Current
since Aug 24, 2015
Accepting new patients
Preventive Rehabilitation Organization Physical Therapist Past
since Sep 15, 2003
Accepting new patients

Locations

23 Fitness Ln
Berkeley Springs, WV 25411
Phone (304) 258-1300

181 Roaring Lion Dr
Hedgesville, WV 25427
Phone (304) 754-6000

8543 Winchester Ave
Inwood, WV 25428
Phone (304) 229-1010

1008 Tavern Rd
Ste 200
Martinsburg, WV 25401
Phone (304) 264-4040

5724 Hammonds Mill Rd
Ste G
Martinsburg, WV 25404
Phone (304) 274-0123

7330 Martinsburg Pike
Shepherdstown, WV 25443
Phone (304) 876-1000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016481 PA
Physical Therapist 225100000X 2305207786 VA
Physical Therapist 225100000X 003531 WV Yes

Addresses

Primary practice location

8543 Winchester Ave
Inwood, WV 25428-4022

Mailing address

23 Fitness LN
Berkeley Springs, WV 25411-7080
Phone (304) 258-1300

Other identifiers

IdentifierTypeStateIssuer
003531OtherWVPHYSICAL THERAPY

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jrankin@rankinpt.com Direct Rankin Physical Therapy LLC

Other providers in Inwood, WV

All providers in Inwood, WV · Physical Therapist in West Virginia

Sources for this page

Verify at the official NPI Registry.