MRS. KATHERINE REBECCA HICKS (NPI# 1780824698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780824698 |
| Entity Type | Individual |
| Full Name | MRS. KATHERINE REBECCA HICKS |
| Credential | DPT |
| Practice Address |
135 Goshen Road Ext Rincon GA 31326-5567 |
| Practice Telephone | 9128263797 |
| Mailing Telephone | 9128263797 |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT020367 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT009554 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639374838 | Katherine V. Hicks | Dentist | 19103 Mason Plaza, Shadow Ridge Dental, Omaha, NE 68022 | 2007-06-18 |
| 1871077586 | Katherine Marie Hicks | Speech-Language Pathologist | 5206 Airline Dr Unit D, Houston, TX 77022-1960 | 2018-09-18 |
| 1093248106 | Katherine Hicks | Emergency Medicine | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2017-04-05 |
| 1750709952 | Katherine Garrett Hicks | Internal Medicine | 325 9th Ave, Seattle, WA 98104-2420 | 2014-04-03 |
| 1720320823 | Katherine Elizabeth Hicks | Otolaryngology | 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 | 2013-03-27 |
| 1376865865 | Katherine Marie Hicks | Pharmacy Technician | 19 Public Square, Stockton, MO 65785 | 2010-02-24 |
| 1407902893 | Katherine Vasiliki Hicks | Dentist | 630 Atlantic Blvd, Suite 7, Neptune Beach, FL 32266-4000 | 2007-01-26 |
| 1184726762 | Katherine Mcgill Hicks | Pharmacist | 1020 Richland Ave W, Aiken, SC 29801-3224 | 2006-09-02 |
| 1952360133 | Katherine M. Hicks | Obstetrics & Gynecology | 325b King St, Northampton, MA 01060-2370 | 2006-03-17 |
| Street Address |
135 GOSHEN ROAD EXT |
| City | RINCON |
| State | GA |
| Zip Code | 31326-5567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689632226 | Nancy Chadwick Henderson Wofford | Physical Therapist | 135 Goshen Road Ext, Ste 206, Rincon, GA 31326-5567 | 2006-05-03 |
| 1932476157 | Amelia Laura Manley | Physical Therapist | 135 Goshen Road Ext, Suite 206, Rincon, GA 31326-5567 | 2011-11-17 |
| 1437312410 | Angie Brown | Physical Therapist | 135 Goshen Road Ext, Ste 206, Rincon, GA 31326-5567 | 2008-07-09 |
| 1497703318 | Jacques L Beauchamp | Physical Therapist | 135 Goshen Road Ext, Ste 206, Rincon, GA 31326-5567 | 2006-05-04 |
| 1043278526 | Eric C Bull | Physical Therapist | 135 Goshen Road Ext, Ste 206, Rincon, GA 31326-5567 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657160 | Vitality Counseling, Inc | Counselor | 135 Goshen Road Ext Ste 203, Rincon, GA 31326 | 2018-01-29 |
| 1174045322 | Katelyn Dodsworth Sundin | Dentist | 5871 Ga-21 S, Rincon, GA 31326 | 2017-07-10 |
| 1861943284 | Covenant Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Goshen Commercial Park Dr., Rincon, GA 31326 | 2016-10-20 |
| 1013465681 | Aaron D. Webb | Nurse Practitioner | 423 S Columbia Avenue, Rincon, GA 31326 | 2016-09-13 |
| 1659726255 | Reagan Reese Powell | Counselor | 135 Goshen Rd Ext, Suite 203a, Rincon, GA 31326 | 2016-05-02 |
| 1982065652 | Shronda Bowman | Specialist | 1214n Columbia Ave, Unit B, Rincon, GA 31326 | 2016-03-09 |
| 1306202890 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 461 S Columbia Ave, Rincon, GA 31326 | 2016-01-13 |
| 1053628255 | Jennifer Erin Creech | Dentist | 429 S Columbia Ave, Rincon, GA 31326 | 2010-09-09 |
| 1548596737 | Rincon Medical Center | Clinic/Center | 119 Chimney Road, Rincon, GA 31326 | 2009-10-23 |
| 1770732968 | Hospital Authority of Effingham County | Clinic/Center | 110 Goshen Road, Rincon, GA 31326 | 2008-09-12 |
| Find all providers in zip 31326 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100479 | Production Physicos,llc | Physical Therapist | 461 Sandy Creek Rd Ste 1102, Fayetteville, GA 30214-4284 | 2020-09-28 |
| 1710593819 | David Spellings | Physical Therapist | 3991 Us-78, Suite 200, Snellville, GA 30039 | 2020-09-23 |
| 1841801644 | Noah Konner Lindsey | Physical Therapist | 5270 Peachtree Pkwy Ste 116, Norcross, GA 30092-2558 | 2020-08-14 |
| 1942810106 | Caitlin M Hesse | Physical Therapist | 4480 S Cobb Dr Se Ste Y, Smyrna, GA 30080-6984 | 2020-08-03 |
| 1669007316 | Dynamic Swing Performance, LLC | Physical Therapist | 2031 Cobblestone Cir Ne, Brookhaven, GA 30319-4909 | 2020-03-03 |
| 1356810113 | Ryan Daniel Ahlenius | Physical Therapist | 6360 Dove Dr, Loganville, GA 30052-3031 | 2018-11-21 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1700363686 | Jason Y Kawamura | Physical Therapist | 2300 Liam Ave Ste 103, Dacula, GA 30019-2265 | 2018-07-24 |
| 1649766528 | Carrie Elizabeth Dendtler | Physical Therapist | 320 Montgomery Ave, Alpharetta, GA 30004-3163 | 2018-07-03 |
| 1558853085 | Re Generate Physiotherapy, LLC | Physical Therapist | 1240 Ga-54, Building 700, Fayetteville, GA 30214 | 2018-05-31 |
| 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.