Kathleen M Hickman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010250 Issued in OH

Practice address

4329 Mahoning Ave NW Ste B
Warren, OH 44483-1974

Phone

(330) 847-7819

Fax

(330) 847-8192

NPI assigned

Jun 29, 2010

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

Other identifiers 1

Other names 1

• Kathleen M Haag Former name

Medicare fee-for-service enrollment

Enrolled in OH, TX, DC3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

River Rock Rehabilitation LLCGroup PAC ID 3779492186, 19 clinicians

Bethesda Physical TherapyGroup PAC ID 9032169529, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• River Rock Rehabilitation, LLC

  • Physical Therapist
  • Marion, OH
  • NPI 1689894461
  Medicare reassignment Care Compare group NPD
• Bethesda Physical Therapy

  • Physical Therapist
  • Bethesda, MD
  • NPI 1366508731

  DC

  Medicare reassignment Care Compare group NPD
• D&D Sports Med Aubrey, LLC

  • Physical Therapist
  • Aubrey, TX
  • NPI 1407043292
  Medicare reassignment NPD
• D&D Sports Med Sanger, LLC

  • Physical Therapy Clinic/Center
  • Sanger, TX
  • NPI 1154366458

  Physical Therapist

  Medicare reassignment NPD
• Sports Med Denton LLC

  • Physical Therapy Clinic/Center
  • Denton, TX
  • NPI 1225073521

  Physical Therapist

  Medicare reassignment NPD
• NBJ Outpatient Therapy LLC

  • Physical Therapist
  • Warren, OH
  • NPI 1720250921
  Medicare reassignment
• Novacare Rehabilitation of Ohio Inc

  • Physical Therapy Clinic/Center
  • Beechwood, OH
  • NPI 1740447895
  NPD (past)

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1922319581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 MILL CREEK BLVD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122723",
            "telephone_number": "330-770-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 MAHONING AVE NW STE B",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831974",
            "telephone_number": "330-847-7819",
            "fax_number": "330-847-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT010250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3092166",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "HAAG",
            "middle_name": "M",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather M Hermsdorfer
• Dennis John Hernandez
• Megan Hess
• Tina Louise Hetrick
• Barbara A Hewitt
• Amanda Hill
• Carmella Hill, PCC
• Joshua Hill, LPCC-S
• Taniesha Shawnita Hill
• Tiara Hill

• Physical Therapist in Warren, OH
• Providers in Warren, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.