Kelly Hicks, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0004374 Issued in CO

Practice address

200 Kipling St
Lakewood, CO 80226-7425

Phone

(404) 808-0894

NPI assigned

Mar 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Hicks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1891553442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 ZEPHYR DR",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334558",
            "telephone_number": "404-808-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267425",
            "telephone_number": "404-808-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KELLY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HICKS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Heubisch, LPCC
• Christopher J Hey, OD
• Naimeh Heydar-Hosseini, NURSE PRACTITIONER
• Monica Heydari, LCPC
• Caroline Hicks, PHD
• Lisa Beth Hicks, CRNA
• Anna Higgins, PA
• Blake Higgins
• Higher Living Home Care, LLC
• Higher Sights Counseling

• Occupational Therapist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.