Miss Kirra Rachel Hicks, DPT | |
7424 Bridgeport Way W Ste 101, Lakewood, WA 98499 | |
(253) 582-8142 | |
Not Available |
Full Name | Miss Kirra Rachel Hicks |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 7424 Bridgeport Way W Ste 101, Lakewood, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699132050 | NPI | - | NPPES |
2071776 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 43610 (California) | Secondary |
225100000X | Physical Therapist | PT60688010 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pro Sport Physical Therapy, Llc | 9436573177 | 9 |
Provider Name | Optum Care Washington Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Provider Name | Pro Sport Physical Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114552155 PECOS PAC ID: 9436573177 Enrollment ID: O20200728001114 |
Mailing Address | Practice Location Address |
---|---|
Miss Kirra Rachel Hicks, DPT Po Box 645441 Lockbox 005441, Cincinnati, OH 45264-0001 Ph: () - | Miss Kirra Rachel Hicks, DPT 7424 Bridgeport Way W Ste 101, Lakewood, WA 98499 Ph: (253) 582-8142 |
Joseph F Staeheli, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8107 Steilacoom Blvd Sw, Lakewood, WA 98498 Phone: 253-584-6555 Fax: 253-584-6926 | |
Samantha L. Gubka, DPT, OCS, CCCE Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7308 Bridgeport Way W, Suite 103, Lakewood, WA 98499 Phone: 253-582-8142 Fax: 253-582-8160 | |
Jessica Estes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9315 Gravelly Lake Dr Sw, Suite 306, Lakewood, WA 98499 Phone: 253-581-5200 Fax: 253-581-5203 | |
Brady Houbrick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10903 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-583-5230 | |
Regina Y Lim-yu, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8524 Steilacoom Blvd Sw, Lakewood, WA 98498 Phone: 253-722-5511 | |
Kathleen Erin Hutchinson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9514 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-983-9395 | |
Jane Dumas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9521 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-983-9395 |