Active NPI
Heather L. Hicks, OTR/L
- Occupational Therapist
- Ashland, KY
National Provider Identifier
1982909776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R4098
- Practice address
- 2025 13TH St
Ashland, KY 41101-3517 - Phone
- (606) 465-9736
- NPI assigned
- Jan 25, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.006778 | OH | |
| Occupational Therapist | 225X00000X | R4098 | KY | Primary |
Addresses
Primary practice location
2025 13TH St
Ashland, KY 41101-3517
Mailing address
2025 13TH St
Ashland, KY 41101-3517
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810022144 | Medicaid | WV | |
| 310917085167 | Other | OH | OHIO MEDICAID CARESOURCE |
| 000000474318 | Other | OH | OHIO MEDICAID UNISON |
| 0058011 | Medicaid | OH |
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 |
|---|---|---|---|
| OT.006778 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Health and Wellness Center, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Ashland, KY
- NPI 1891090684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1982909776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 13TH ST",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411013517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 13TH ST",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411013517",
"telephone_number": "606-465-9736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "HEATHER",
"middle_name": "L.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-25",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.006778",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R4098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810022144",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID CARESOURCE",
"identifier": "310917085167",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID UNISON",
"identifier": "000000474318",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0058011",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.