Kelly Ann Ficklin, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-012478 Issued in IL

Practice address

1001 E Pells St
Paxton, IL 60957-1300

Phone

(217) 379-4361

NPI assigned

Nov 10, 2009

Last updated

Nov 10, 2009By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kelly.ficklin.1@15486.direct.athenahealth.com

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1447587555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E PELLS ST",
            "city": "PAXTON",
            "state": "IL",
            "postal_code": "609571300",
            "telephone_number": "217-379-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E PELLS ST",
            "city": "PAXTON",
            "state": "IL",
            "postal_code": "609571300",
            "telephone_number": "217-379-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKLIN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-012478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Elizabeth Dorsey
• Douglas C. Higgins (Doug's Pharmacy)
• Jill Erin Ellis, COTA/L
• Nancy A Ewart, MA
• Abigail Ewing, BS
• Flavel J. Heyman
• Ford County (Ford County Public Health Department)
• Ford County Court Services
• Mia Gasperini
• Gibson Community Hospital Association (The Paxton Clinic)

• Physical Therapist in Paxton, IL
• Providers in Paxton, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.