Individual provider Active NPI

Brandi Kay Hickenbottom, PT

  • Physical Therapist
  • Woodsfield, OH
National Provider Identifier
1881175602
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017271 Issued in OH
Practice address
101 S Main St
Woodsfield, OH 43793-1022
Phone
(740) 472-1656
NPI assigned
Aug 29, 2018
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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 PT017271 OH Primary

Addresses

Primary practice location

101 S Main St
Woodsfield, OH 43793-1022

Mailing address

PO Box 941
Marietta, OH 45750-0941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916002705 OH Practitioner - Physical Medicine and Rehabilitation 6709261357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

123 N Chestnut St
Suite a
Barnesville, OH 43713-1013
Phone (740) 254-8275

305 N St
Caldwell, OH 43724-1215
Phone (888) 690-3778

584 Lewisville Rd
Suite B
Woodsfield, OH 43793-9227
Phone (800) 690-3778

611 2ND St
Suite a
Marietta, OH 45750-2167
Phone (740) 568-0650

Merit-based Incentive Payment System (MIPS)

Final score
87.35 of 100Reported as group
Quality
87.12
Promoting interoperability
100
Improvement activities
40
Cost
70.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Settlement Physical Therapy Physical Therapist Current Accepting new patients
First Settlement Phycial Therapy Physical Therapist CurrentSince Sep 6, 2022 Accepting new patients
First Settlement Physical Therapy,Inc. CurrentSince Sep 6, 2022 Accepting new patients
Marden Physician Services, Inc Past Accepting new patients
Marden Rehabilitation Associates of Ohio, Inc. Physical Therapist PastSince Aug 30, 2020 Accepting new patients
Marden Rehabilitation Associates of Portage County, Inc. Physical Therapist Past Accepting new patients

Locations

2434 Richmiller Ln
Unit B
Belpre, OH 45714
Phone (740) 423-1500

611 2nd St
Ste A
Marietta, OH 45750
Phone (740) 568-0650

55 White Oak Woods Dr
Vincent, OH 45784
Phone (740) 678-8000

1500 Grand Central Ave
Ste 101
Vienna, WV 26105
Phone (304) 295-3060

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1881175602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "WOODSFIELD",
            "state": "OH",
            "postal_code": "437931022",
            "telephone_number": "740-472-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKENBOTTOM",
        "first_name": "BRANDI",
        "middle_name": "KAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodsfield, OH

Sources for this page

Verify at the official NPI Registry.