Organization Active NPI

Hickman Therapy Services, Inc.

  • Speech-Language Pathologist
  • Alpharetta, GA
National Provider Identifier
1639237571
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP003974 Issued in GA
Legal business name
HICKMAN THERAPY SERVICES, INC.
Practice address
135 Broadwell Oaks Court
Alpharetta, GA 30004
Phone
(404) 964-4629
Fax
(770) 754-5998
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Mrs. Jerri Hickman Temple, M.ED., CCC-SLP
Title
President
Phone
(404) 964-4629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP003974 GA Primary

Addresses

Primary practice location

135 Broadwell Oaks Court
Alpharetta, GA 30004

Mailing address

135 Broadwell Oaks Court
Alpharetta, GA 30004
Phone (404) 964-4629

Other identifiers 1

IdentifierTypeStateIssuer
000809839AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1639237571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BROADWELL OAKS COURT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30004",
            "telephone_number": "404-964-4629",
            "fax_number": "770-754-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BROADWELL OAKS COURT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30004",
            "telephone_number": "404-964-4629",
            "fax_number": "770-754-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKMAN THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "TEMPLE",
        "authorized_official_first_name": "JERRI",
        "authorized_official_middle_name": "HICKMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-964-4629",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP003974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000809839A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.