Individual provider Active NPI

Dakota Hicks Dakota Hicks

  • Physical Therapist
  • Kingsport, TN
National Provider Identifier
1922912963
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17318 Issued in TN
Practice address
103 W Stone Dr Ste 200
Kingsport, TN 37660-3220
Phone
(423) 398-4046
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 17318 TN Primary

Addresses

Primary practice location

103 W Stone Dr Ste 200
Kingsport, TN 37660-3220

Mailing address

129 Gray LN
Church Hill, TN 37642-5114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1922912963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 GRAY LN",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "376425114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W STONE DR STE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603220",
            "telephone_number": "423-398-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKOTA HICKS",
        "first_name": "DAKOTA HICKS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "17318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.