Active NPI
Katherine Rebecca Hicks, DPT
- Orthopedic Physical Therapist
- Rincon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT009554
- Practice address
- 135 Goshen Road Ext
Rincon, GA 31326-5567 - Phone
- (912) 826-3797
- NPI assigned
- Mar 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT020367 | PA | |
| Orthopedic Physical Therapist | 2251X0800X | PT009554 | GA | Primary |
Addresses
Primary practice location
135 Goshen Road Ext
Rincon, GA 31326-5567
Mailing address
135 Goshen Road Ext
Rincon, GA 31326-5567
Phone (912) 826-3797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT020367 | PA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation & Consulting Limited Partnership | Orthopedic | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Fox Rehabilitation Ga, LLC | Orthopedic | Current | Accepting new patients |
| Advance Rehabilitation & Consulting Limited Partnership | Orthopedic | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Effingham Rehab Services, LLC | Past | Accepting new patients | |
| Effingham Rehab Services, LLC | Orthopedic | Past | Accepting new patients |
Locations
7423 Adairsville Hwy
Adairsville, GA 30103
Phone (770) 373-9315
1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490
1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085
7 Carnegie Plz
Ste 110
Cherry Hill, NJ 08003
Organizations & group practices 9
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.
-
- Physical Therapist
- Atlanta, GA
- NPI 1245826999
-
- Physical Therapist
- Saint Marys, GA
- NPI 1235434283
Orthopedic
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922018423
-
- Durable Medical Equipment & Medical Supplies
- Jasper, GA
- NPI 1164115671
Orthopedic
-
- Physical Therapy Clinic/Center
- Lithonia, GA
- NPI 1346119831
-
- Physical Therapy Clinic/Center
- Brookhaven, GA
- NPI 1720097561
-
dba CORA Physical Therapy - Brunswick
- Rehabilitation Clinic/Center
- Brunswick, GA
- NPI 1366016032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1780824698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 GOSHEN ROAD EXT",
"city": "RINCON",
"state": "GA",
"postal_code": "313265567",
"telephone_number": "912-826-3797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 GOSHEN ROAD EXT",
"city": "RINCON",
"state": "GA",
"postal_code": "313265567",
"telephone_number": "912-826-3797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "KATHERINE",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT020367",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT009554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rincon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.