Edward Ryan Hickey, P.TX

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT01851 Issued in RI

Practice address

353 Blackstone Blvd
Providence, RI 02906-4936

Phone

(401) 751-6900

Fax

(401) 751-6902

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Milestone Rehab LLCGroup PAC ID 2466357223, 2 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.

• Milestone Rehab, L.L.C.

  • Physical Therapist
  • Providence, RI
  • NPI 1548230097
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992867485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MILL ST APT 102",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028958200",
            "telephone_number": "401-597-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 BLACKSTONE BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064936",
            "telephone_number": "401-751-6900",
            "fax_number": "401-751-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "EDWARD",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "P.TX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "RI",
            "license": "PT01851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Carol Hetherington, LICSW
• Jacob Hettinger, O.D.
• Nadine Sonali Hewamudalige, MD
• Grace Ann Hewett, MD
• Jenus P Hiatt, RN,CDOE
• Cameron Rishard Hicks, MD
• Deborah Anne Hicks, LCSW
• Domonike A Hicks
• Jeffrey W Higbee, DMD
• Camille Emily Higel-McGovern, NP

• Geriatric Physical Therapist in Providence, RI
• Providers in Providence, RI by specialty
• Geriatric Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.