Individual provider Active NPI

Tammy Hicks

  • Occupational Therapist
  • Lexington, KY
National Provider Identifier
1508475500
Registry record updated Jul 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
133940 Issued in KY
Practice address
701 Liberty Ridge LN
Lexington, KY 40509-4564
Phone
(606) 271-1699
NPI assigned
Jul 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2020

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 133940 KY Primary

Addresses

Primary practice location

701 Liberty Ridge LN
Lexington, KY 40509-4564

Mailing address

901 Princess Doreen Dr
Lexington, KY 40509-4470
Phone (606) 271-1699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210311002119 KY Practitioner - Occupational Therapist in Private Practice 0244646560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Kentucky, LLCGroup PAC ID 1850729211, 108 clinicians

Practice addresses (Care Compare)

1165 Monarch St
Lexington, KY 40513-1979
Phone (844) 502-7996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Kentucky, LLC CurrentSince Mar 9, 2021 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC Occupational Therapist CurrentSince Mar 9, 2021 Accepting new patients

Locations

101 Isaac Greer Ct
Bardstown, KY 40004
Phone (502) 348-6214

3310 Tates Creek Rd
Lexington, KY 40502
Phone (859) 203-7899

8401 La Grange Rd
Lyndon, KY 40222
Phone (502) 234-5977

84 Utterback Rd
Murray, KY 42071
Phone (270) 759-8700

1001 Crossfield Dr
Versailles, KY 40383
Phone (859) 753-2000

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

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": "1595721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595721600000",
    "number": "1508475500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PRINCESS DOREEN DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094470",
            "telephone_number": "606-271-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LIBERTY RIDGE LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094564",
            "telephone_number": "606-271-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "TAMMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-26",
        "last_updated": "2020-07-26",
        "certification_date": "2020-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "133940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2020; 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.

Verify at the official NPI Registry.