MALCOLM JAMES LICKERS (NPI# 1255938098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255938098 |
| Entity Type | Individual |
| Full Name | MALCOLM JAMES LICKERS |
| Practice Address |
8191 Staples Mill Rd Henrico VA 23228-2751 |
| Mailing Address |
3307 Quail Hill Dr Midlothian VA 23112-4431 |
| Practice Telephone | 8045232653 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
2305202376 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8191 STAPLES MILL RD |
| City | HENRICO |
| State | VA |
| Zip Code | 23228-2751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871143511 | Nicole Marie Pandak | Physical Therapist | 8191 Staples Mill Rd, Henrico, VA 23228-2751 | 2019-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992356976 | Nimos Trans LLC | Non-emergency Medical Transport (VAN) | 5608 Tumbleweed Cr. Apt (h), Henrico, VA 23228 | 2019-09-21 |
| 1245890433 | Laura Mary Walton | Counselor | 5500 Staples Mill Road, Richmond, VA 23228 | 2019-06-19 |
| 1841859121 | Rachel S Ford | Behavior Technician | 1640 E. Parham Road, Richmond, VA 23228 | 2019-06-10 |
| 1932766631 | Nathan Ellis | Behavior Technician | 1640 East Parham Road, Richmond, VA 23228 | 2019-05-29 |
| 1922545268 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 4008 E Parham Rd., Henrico, VA 23228 | 2017-01-25 |
| 1205371663 | Simple Solutions Psychiatry | Community/Behavioral Health | 4321 Kanipe Ct, Richmond, VA 23228 | 2016-12-21 |
| 1417406224 | Dan A Kniffen Lcsw LLC | Counselor | 4100 East Parham Road, Suite B, Henrico, VA 23228 | 2016-09-22 |
| 1316334394 | Bobbi Southard | Specialist/Technologist | 8301 Hungary Spring Road, Richmond, VA 23228 | 2015-04-17 |
| 1265836050 | Crystal Mcfaddin | Nurse Practitioner | 4301 East Parham Road, Henrico, VA 23228 | 2014-10-22 |
| 1013352376 | Pooja Rao | Internal Medicine | 4100 New Hermitage Dr, Henrico, VA 23228 | 2013-04-30 |
| Find all providers in zip 23228 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981304 | Eryn Carlisle | Physical Therapist | 3309 Suffolk Rd, Richmond, VA 23227-4724 | 2020-10-31 |
| 1033751300 | Kathryn R. Wason | Physical Therapist | 285 Hydraulic Ridge Road, Suite 4, Charlottesville, VA 22901-8126 | 2019-10-08 |
| 1326485814 | Tracy Oakes | Physical Therapist | 7006 River Rd Apt C, Newport News, VA 23607-1852 | 2013-05-24 |
| 1740424191 | Ashley Deboise | Physical Therapist | 3296 Dam Neck Rd, Virginia Beach, VA 23453-2614 | 2009-04-29 |
| 1659470680 | Joseph Harold Gieck | Physical Therapist | 1230 Cedars Ct Ste A, Charlottesville, VA 22903-5800 | 2006-09-22 |
| 1376879130 | Stephen D Smith | Physical Therapist | 6355 Willowfield Way, Springfield, VA 22150-1038 | 2006-08-20 |
| 1356315097 | Emilie Schmidt | Physical Therapist | 2133 Montgomery Ave, Woodbridge, VA 22191-2655 | 2006-02-16 |
| 1912997974 | Stephen John Stoecker | Physical Therapist | 3259 Catlin Avenue, Quantico, VA 22134-6050 | 2005-10-21 |
| 1871587675 | Michael Higgins | Physical Therapist | 210 Emmet St S, Charlottesville, VA 22903-2455 | 2005-09-07 |
| 1174138101 | Meghan Luczkowski | Physical Therapist | 1300 W Broad St, Richmond, VA 23284-9058 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.