MARY C HICKS (NPI# 1386903789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386903789 |
| Entity Type | Individual |
| Full Name | MARY C HICKS |
| Credential | PT |
| Practice Address |
1860 Pennsylvania Ave Mcdonough GA 30253-9117 |
| Mailing Address |
709 Crescent Cir Canton GA 30115-4772 |
| Practice Telephone | 6784621342 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484254 | Mary Hicks | Registered Nurse | 135 Se County Road 3144, Corsicana, TX 75109-0689 | 2020-07-09 |
| 1205135597 | Mary Jane Hicks | Licensed Practical Nurse | 2506 Davidson Ave, 5e, Bronx, NY 10468-4258 | 2011-03-25 |
| 1699003236 | Mary Hicks | Pharmacist | 800 W Magnolia Ave Ste 130, Fort Worth, TX 76104-4611 | 2009-11-19 |
| 1114183647 | Mary A. Hicks | Nurse Practitioner | 13400 S. Pleasant Valley Rd., Imsi, Boise, ID 83707 | 2008-08-04 |
| 1821288978 | Mary Frances Hicks | Licensed Practical Nurse | 35 Clinton St, Batavia, NY 14020-2822 | 2007-07-25 |
| 1447463989 | Mary Lawrence Hicks | Nurse Practitioner | 995 Potrero Ave # 86, San Francisco, CA 94110-2859 | 2007-05-08 |
| 1447241229 | Mary Hicks | Nurse Practitioner | 1 Ford Pl, Detroit, MI 48202 | 2005-11-02 |
| 1811415474 | Mary Katherine Hicks | Nurse Practitioner | 1030 N Monroe St, Monroe, MI 48162-3113 | 2017-09-05 |
| 1841711462 | Mary Hicks | Counselor | 225 S Main St Ste B, Versailles, KY 40383-1582 | 2017-07-05 |
| 1023410214 | Mary Hicks | Social Worker | 36 Union St., Dryden, NY 13053-0088 | 2014-09-19 |
| Street Address |
1860 PENNSYLVANIA AVE |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-9117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164862116 | Kimmarchello Denise Baugh | Physical Therapist | 1860 Pennsylvania Ave, Mcdonough, GA 30253-9117 | 2013-07-04 |
| 1164763967 | Mavis Farmer | Speech-Language Pathologist | 1860 Pennsylvania Ave, Mcdonough, GA 30253-9117 | 2013-03-05 |
| 1477807410 | Kevin Morris | Occupational Therapist | 1860 Pennsylvania Ave, Mcdonough, GA 30253-9117 | 2012-10-29 |
| 1558613422 | Jill Weigel | Occupational Therapist | 1860 Pennsylvania Ave, Mcdonough, GA 30253-9117 | 2012-10-02 |
| 1891052619 | Beverly L Jackson | Occupational Therapist | 1860 Pennsylvania Ave, Mcdonough, GA 30253-9117 | 2012-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1770143547 | Kevin Kirk Anderson | Physical Therapist | Dr. Kevin Anderson, 196 Lake Dow Rd, Mcdonough, GA 30252 | 2019-06-14 |
| 1689146755 | Chelsea Fenton | Physical Therapist | 5948 E Lake Pkwy, Mcdonough, GA 30253-4802 | 2018-12-29 |
| 1922469311 | Pt Solutions of Acworth, LLC | Physical Therapist | 1810 Jonesboro Rd, Mcdonough, GA 30253-5960 | 2016-03-11 |
| 1811386501 | Charmin Sanders | Physical Therapist | 2085 Parador Bnd, Mcdonough, GA 30253-9058 | 2015-01-18 |
| 1477963346 | Garrison Physical Therapy LLC | Physical Therapist | 360 Wyldewood Dr, Mcdonough, GA 30253-7737 | 2014-05-01 |
| 1740611409 | Rachelle Levy | Physical Therapist | 2200 Highway 155 N Ste 130, Mcdonough, GA 30252-4846 | 2013-12-06 |
| 1598049447 | Proactive Rehab, Inc | Physical Therapist | 50 Lawrenceville Street, Suite 100, Mcdonough, GA 30252 | 2011-10-10 |
| 1609154665 | Sara Knight | Physical Therapist | 50 Lawrenceville St Ste 100, Mcdonough, GA 30253-2371 | 2011-07-25 |
| 1417265919 | Crystal Chantel Everett | Physical Therapist | 1332 S Zack Hinton Pkwy, Mcdonough, GA 30253-3354 | 2010-09-17 |
| Find all providers in MCDONOUGH | ||||
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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.