Kerry Hickethier, PTA, ATC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8449 Issued in OR

Practice address

4200 6TH Ave SE
Suite 203
Lacey, WA 98503-1042

Phone

(360) 455-4448

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pro-Active Sportsmed PLLC

  • Orthopedic Physical Therapist
  • Tumwater, WA
  • NPI 1861612335
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912122201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8137 SWEETBRIER LN SE",
            "address_2": "J-104",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985138408",
            "telephone_number": "360-259-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 6TH AVE SE",
            "address_2": "SUITE 203",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031042",
            "telephone_number": "360-455-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKETHIER",
        "first_name": "KERRY",
        "credential": "PTA, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "8449",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Louise Hershfield, RN
• Frank Hesketh, M.A., LMHC
• Amber Hetland-Reimann
• Jonathon A Hew Len
• HGM Wellness PLLC
• Terchelle Hicklin
• Judith Hickmann
• Betsy Hicks, M.A., LMFTA
• Garrick Howard Hill, PA-C
• Rachael Hinlicky

• Physical Therapy Assistant in Lacey, WA
• Providers in Lacey, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.