Kathryn Eleanor Hickey, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT292970 Issued in CA

Practice address

10255 Live Oak Blvd
Live Oak, CA 95953-2015

Phone

(530) 695-3700

Fax

(530) 695-3780

NPI assigned

Jun 13, 2017

Last updated

Jun 13, 2017By the provider in NPPES

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

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1801326848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 VICTOR AVE STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034093",
            "telephone_number": "530-221-9952",
            "fax_number": "530-221-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 LIVE OAK BLVD",
            "city": "LIVE OAK",
            "state": "CA",
            "postal_code": "959532015",
            "telephone_number": "530-695-3700",
            "fax_number": "530-695-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "KATHRYN",
        "middle_name": "ELEANOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Live Oak, CA
• Providers in Live Oak, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.