Active NPI
Colleen M Hickey
- Physical Therapist
- Mechanicsburg, PA
National Provider Identifier
1932357076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 005958L
- Practice address
- 6108 Carlisle Pike
Mechanicsburg, PA 17050 - Phone
- (717) 591-9118
- NPI assigned
- Sep 3, 2008
- Last updated
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 005958L | PA | Primary |
Addresses
Primary practice location
6108 Carlisle Pike
Mechanicsburg, PA 17050
Mailing address
3901 Pamay Dr
Mechanicsburg, PA 17050-7675
Phone (717) 732-6078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 005958L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1932357076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 PAMAY DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170507675",
"telephone_number": "717-732-6078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6108 CARLISLE PIKE",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "17050",
"telephone_number": "717-591-9118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "COLLEEN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT 005958L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.