Carey C. Hicks

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT16435 Issued in FL

Legal business name

CAREY C. HICKS

Practice address

4571 Castlewood LN
Niceville, FL 32578-8799

Phone

(724) 787-1725

NPI assigned

Apr 15, 2016

Last updated

Apr 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carey Hicks, MS, MSR, OTR/LNPI 1366848723

Title

Occupational Therapist

Phone

(724) 787-1725

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carey Hicks, OTR/L

  • Occupational Therapist
  • Niceville, FL
  • NPI 1366848723
  Authorized official Same address or phone

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1841644945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4571 CASTLEWOOD LN",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4571 CASTLEWOOD LN",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788799",
            "telephone_number": "724-787-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREY C. HICKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "724-787-1725",
        "authorized_official_credential": "MS, MSR, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Niceville, FL
• Providers in Niceville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.