Vicki Lynne Hitchcock (NPI# 1528485554, PAC ID# 5698099190) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1528485554 |
| PAC ID by PECOS | 5698099190 |
| Professional Enrollment ID | I20150109000869 |
| Full Name | Vicki Lynne Hitchcock |
| Organization Legal Name | EXECUTIVE PHYSICAL THERAPY, INC. |
| Address |
Physical Therapy Doctors 247 Mountain Ave Berthoud CO 80513-2319 |
| Phone Number | 9705322582 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6709877145 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| Physical Therapy Doctors, 247 Mountain Ave, Berthoud, CO 80513-2319 | 9705322582 | EXECUTIVE PHYSICAL THERAPY, INC. |
| Organization Legal Name | EXECUTIVE PHYSICAL THERAPY, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Corning Creager | Physical Therapy | Executive Physical Therapy, Inc. | Physical Therapy Doctors, 247 Mountain Ave, Berthoud, CO 80513-2319 |
| Street Address |
PHYSICAL THERAPY DOCTORS 247 MOUNTAIN AVE |
| City | BERTHOUD |
| State | CO |
| Zip | 80513-2319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Corning Creager | Physical Therapy | Executive Physical Therapy, Inc. | Physical Therapy Doctors, 247 Mountain Ave, Berthoud, CO 80513-2319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn T Stone | Diagnostic Radiology | Leconte Radiology PC | 213 E Michigan Ave, Leconte Radiology Stone, Berthoud, CO 80513-1374 |
| Dena S Sheppard Madden | Family Medicine | Banner Health Physicians Colorado LLC | 401 10th St, Berthoud, CO 80513-1381 |
| Aaron James Schmucker | Nurse Practitioner | Banner Health Physicians Colorado LLC | 401 10th St, Berthoud, CO 80513-1381 |
| Kelly K Murtagh | Physical Therapy | 516 Mountain Ave, Berthoud, CO 80513-1848 | |
| Edeltraud Archinger | Clinical Social Worker | 328 Massachusetts Ave, Berthoud, CO 80513-5003 | |
| Corey D Pratt | Optometry | Wm Rex Eland Od PC | 1211 Lake Ave, Suite 102, Berthoud, CO 80513-9381 |
| William R Eland | Optometry | Wm Rex Eland Od PC | 1211 Lake Ave, Suite 102, Berthoud, CO 80513-9381 |
| City | BERTHOUD |
| Zip Code | 80513 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BERTHOUD + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Vicki Lynne Hitchcock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.