Active NPI
Hickman Therapy Services, Inc.
- Speech-Language Pathologist
- Alpharetta, GA
National Provider Identifier
1639237571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP003974
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000809839A | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Alpharetta, GA
- NPI 1922435205
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.