Individual provider Active NPI

Lori Ann Hicks, M.P.T.

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1861603458
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24868 Issued in CA
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

Updated by the provider on Jul 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT24868CAMDPhysical Therapist
24868CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Apr 15, 2000 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.

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.

Verify at the official NPI Registry.