Active NPI
Michelle Hicks
- Physical Therapist
- Harrisburg, PA
National Provider Identifier
1326531104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015905
- Practice address
- 4230 Crums Mill Rd Ste 201
Harrisburg, PA 17112 - Phone
- (717) 968-3240
- Fax
- (717) 540-1704
- NPI assigned
- Jun 7, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015905 | PA | Primary |
Addresses
Primary practice location
4230 Crums Mill Rd Ste 201
Harrisburg, PA 17112
Mailing address
4230 Crums Mill Rd Ste 201
Harrisburg, PA 17112-2898
Phone (717) 968-3240
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Heart Home Care LLC | Past | Accepting new patients | |
| Bello Nurses LLC | Physical Therapist | 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.
-
- In Home Supportive Care Agency
- Harrisburg, PA
- NPI 1871019240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1326531104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 CRUMS MILL RD STE 201",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171122898",
"telephone_number": "717-968-3240",
"fax_number": "717-540-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 CRUMS MILL RD STE 201",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17112",
"telephone_number": "717-968-3240",
"fax_number": "717-540-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT015905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.