Active NPI
Jordan Hickey, PT
- Physical Therapist
- Okatie, SC
National Provider Identifier
1356060198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11510
- Practice address
- 100 Okatie Center Blvd N
Okatie, SC 29909-3750 - Phone
- (843) 547-4058
- NPI assigned
- Aug 24, 2022
- 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 | 11510 | SC | Primary |
Addresses
Primary practice location
100 Okatie Center Blvd N
Okatie, SC 29909-3750
Mailing address
6 Burley LN
Bluffton, SC 29910-9340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221129003239 | SC | Practitioner - Physical Therapist in Private Practice | 0345618054 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Compass Rehabilitation
Practice addresses (Care Compare)
100 Okatie Ctr N Blvd
Okatie, SC 29909-3750
Phone (843) 705-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11510 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Rehabilitation | Physical Therapist | Current | Accepting new patients |
Locations
100 Okatie Center Blvd N
Okatie, SC 29909
Phone (843) 547-4058
Organizations & group practices 1
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.
-
- Physical Therapist
- Okatie, SC
- NPI 1205251261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769817600000",
"number": "1356060198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BURLEY LN",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299109340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OKATIE CENTER BLVD N",
"city": "OKATIE",
"state": "SC",
"postal_code": "299093750",
"telephone_number": "843-547-4058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "JORDAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2026-01-31",
"certification_date": "2026-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "11510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okatie, SC
- Harbor Point Dentistry, LLC
- Jonathan Carl Harroff, DDS
- Heart Associate of Hilton Head PC
- Helene Stoller, Psy.D., L.P.
- Isabelle Hennessey
- Rana Hadden Hildebrandt, FNP
- Hilton Head Regional Physician Group LLC
- Hilton Head Regional Physician Group LLC
- Christopher A Hitchman
- Ralph Warren Hoerner III, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; 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.