Active NPI
Lori Ann Hicks, M.P.T.
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1861603458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24868
- Practice address
- 13050 San Vicente Blvd
Ste #119
Los Angeles, CA 90049-4800 - Phone
- (310) 312-0022
- NPI assigned
- May 24, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24868 | CA | Primary |
Addresses
Primary practice location
13050 San Vicente Blvd
Ste #119
Los Angeles, CA 90049-4800
Mailing address
13050 San Vicente Blvd
Suite #119
Los Angeles, CA 90049-4800
Phone (310) 312-0022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT24868 | CA | MD | Physical Therapist |
| 24868 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapid Rehab LLC | Physical Therapist | Past | Accepting new patients |
| W. Seth Bolling, MD, Inc | Past | Accepting new patients | |
| Brentwood Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Specialists Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1861603458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13050 SAN VICENTE BLVD",
"address_2": "SUITE #119",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900494800",
"telephone_number": "310-312-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13050 SAN VICENTE BLVD",
"address_2": "STE #119",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900494800",
"telephone_number": "310-312-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT24868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.