John William Hicks, PT, DPT | |
1310 Baker St, Longmont, CO 80501-3452 | |
(303) 772-2255 | |
Not Available |
Full Name | John William Hicks |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1310 Baker St, Longmont, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811672363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTL.0019179 (Colorado) | Primary |
Provider Name | Goodcare Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225746100 PECOS PAC ID: 3173946068 Enrollment ID: O20230301000327 |
Mailing Address | Practice Location Address |
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John William Hicks, PT, DPT 405 Westview Ct, Lebanon, OH 45036-1371 Ph: (513) 687-0403 | John William Hicks, PT, DPT 1310 Baker St, Longmont, CO 80501-3452 Ph: (303) 772-2255 |
Healther Lynn Stokes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1551 Professional Ln, #145, Longmont, CO 80501 Phone: 720-494-3290 Fax: 720-494-3294 | |
Crafted Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 Delaware Ave Unit E, Longmont, CO 80501 Phone: 720-204-4567 | |
Kathleen Marie Stupansky, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1551 Professional Ln, #145, Longmont, CO 80501 Phone: 720-494-3290 Fax: 720-494-3294 | |
Stephanie Marie Lyle Maxwell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 395 S Pratt Pkwy, Longmont, CO 80501 Phone: 303-776-6200 | |
Mr. Jason Donald Main, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1610 Dry Creek Dr, Longmont, CO 80503 Phone: 720-494-4750 Fax: 720-494-4751 | |
Sarah Elisabeth Troicky, PT,DPT,ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1380 Tulip St, Longmont, CO 80501 Phone: 303-485-4163 Fax: 303-485-4164 | |
Jonathan Walter Kupiec, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Delaware Ave Unit E, Longmont, CO 80501 Phone: 720-204-4567 |