Olivia Hicks

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201010489 Issued in MI

Practice address

2378 Woodlake Dr Ste 240
Okemos, MI 48864-6015

Phone

(517) 706-0421

NPI assigned

Mar 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pediatric Speech Services LLC

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1487005807
  NPD

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1780143735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 WOODLAKE DR STE 240",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646015",
            "telephone_number": "517-706-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2378 WOODLAKE DR STE 240",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646015",
            "telephone_number": "517-706-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201010489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee D Herring, PH.D.
• Misty Herson
• Hope Hesseltine
• Kimberly Faith Hicks-Rose
• Ebony Hicks, LLMSW
• Joanna Ruth Higiro, BT
• Dionna Hill
• Gabrielle Hill
• Jessica Lynn Hill, PA-C
• Kaitlyn Louise Hill, PT, DPT

• Pediatric Occupational Therapist in Okemos, MI
• Providers in Okemos, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.