Individual provider Active NPI

Maria C. Hicks, O.T.

  • Occupational Therapist
  • Mechanicville, NY
National Provider Identifier
1568603314
Registry record updated Mar 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
005112 Issued in NY
Practice address
78 Ridgewood Dr
Mechanicville, NY 12118-3222
Phone
(518) 664-7576
NPI assigned
Mar 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2009

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 005112 NY Primary

Addresses

Primary practice location

78 Ridgewood Dr
Mechanicville, NY 12118-3222

Mailing address

78 Ridgewood Dr
Mechanicville, NY 12118-3222
Phone (518) 664-7576

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201120001550 NY Practitioner - Occupational Therapist in Private Practice 9133530223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

40 Autumn Dr
Slingerlands, NY 12159-9356
Phone (518) 410-2072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PRN Physical, Occupational and Speech Therapy Network, PLLC CurrentSince Oct 15, 2020 Accepting new patients
PRN Physical, Occupational and Speech Therapy Network, PLLC CurrentSince Oct 15, 2020 Accepting new patients
Access Therapy Past Accepting new patients

Locations

20 Peachtree Ct
Ste 105
Holbrook, NY 11741
Phone (518) 253-4983

298 Albany Shaker Rd
Loudonville, NY 12211
Phone (518) 888-2578

1 Ascot Ln
Schenectady, NY 12309
Phone (518) 280-8308

2222 Sullivan Trl
Ste 105
Easton, PA 18040
Phone (574) 261-7058

Organizations & group practices 3

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": "1236384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236384000000",
    "number": "1568603314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 RIDGEWOOD DR",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121183222",
            "telephone_number": "518-664-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 RIDGEWOOD DR",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121183222",
            "telephone_number": "518-664-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MARIA",
        "middle_name": "C.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-07",
        "last_updated": "2009-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "005112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2009; 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.