Janelle Hicks, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05004155A Issued in IN

Practice address

9602 Coldwater Rd Ste 102
Fort Wayne, IN 46825-2095

Phone

(260) 489-9887

Fax

(260) 489-9121

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By 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

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mallers and Swoverland Orthopaedic Physical TherapyGroup PAC ID 2961464169, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mallers & Swoverland Orthopaedic Physical Therapy

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1700869732
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1871299438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9602 COLDWATER RD STE 102",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252095",
            "telephone_number": "260-489-9887",
            "fax_number": "260-489-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9602 COLDWATER RD STE 102",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252095",
            "telephone_number": "260-489-9887",
            "fax_number": "260-489-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JANELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004155A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric James Hick, D.O.
• Kathleen Hickey, CD(DONA)
• Benjamin Matthew Hicks, M.D.
• Darnell Eugene Hicks
• Heather Hicks
• Kayheah Hicks
• Kobe Bernard Hicks
• Sheena Ann Hicks, COTA/L
• James C Higginbotham, P. A. - C
• Angie Marie High

• Physical Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.

Verify at the official NPI Registry.