Jennifer Hickerson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R3833 Issued in KY

Practice address

398 Fincastle Rd
Winchester, OH 45697-9783

Phone

(937) 695-0839

NPI assigned

Aug 18, 2008

Last updated

Aug 18, 2008By the provider in NPPES

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

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.

• Southern Hills Therapy Services

  • Multi-Specialty Clinic/Center
  • Winchester, OH
  • NPI 1194985960
  NPD (past)
• Southern Hills Therapy Services LLC

  • Physical Therapist
  • Winchester, OH
  • NPI 1376871921

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1386891612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10167 KY 57",
            "city": "TOLLESBORO",
            "state": "KY",
            "postal_code": "411898901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 FINCASTLE RD",
            "city": "WINCHESTER",
            "state": "OH",
            "postal_code": "456979783",
            "telephone_number": "937-695-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKERSON",
        "first_name": "JENNIFER",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R3833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Louise Graham, LPN
• Bryan D Grooms, D.O.
• Tella Halcomb, RN
• Fonda Sherrie Harris, RN
• Tammy Hawthorn, RN
• Highland Health Providers Corp (Winchester Medical Center)
• Heather Hilterbrandt, PTA
• Cecelia Mae Hummel
• In His Hands-Transportation
• Heather Jodrey, BSN, RN

• Occupational Therapist in Winchester, OH
• Providers in Winchester, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.