Individual provider Active NPI

Emily Chandis Hickman

  • Occupational Therapist
  • Roswell, GA
National Provider Identifier
1487547378
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT009527 Issued in GA
Practice address
1000 Holcomb Woods Pkwy Ste 422
Roswell, GA 30076-4718
Phone
(770) 641-8070
NPI assigned
May 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT009527 GA Primary

Addresses

Primary practice location

1000 Holcomb Woods Pkwy Ste 422
Roswell, GA 30076-4718

Mailing address

6480 Manor Estates Dr
Cumming, GA 30028-5926
Phone (678) 448-7226

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT009527GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Childrens Therapy Center Occupational Therapist CurrentSince Jun 3, 2025 Accepting new patients
Van Varick Pediatric Physical Therapy PastSince Jun 3, 2025 Accepting new patients

Locations

1000 Holcomb Woods Pkwy
Ste 422
Roswell, GA 30076
Phone (770) 641-8070

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.

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1487547378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 MANOR ESTATES DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300285926",
            "telephone_number": "678-448-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOLCOMB WOODS PKWY STE 422",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764718",
            "telephone_number": "770-641-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "EMILY",
        "middle_name": "CHANDIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT009527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.