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NPI Code Detail

MEDICARE: ALLISON HICKEY DPT

MEDICARE:   ALLISON  HICKEY  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPTL88881MA
2225100000XPhysical TherapistPT44199FL
3225100000XPhysical TherapistCP054718TVA
4225100000XPhysical Therapist64974OR
5225100000XPhysical Therapist

General Provider Information

NPI Number : 1225811011
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON HICKEY DPT
Provider Business Mailing Address
First Line : 14460 SW ARABIAN DR
Second Line :
City : BEAVERTON
State : OR
Zip : 97008-6773
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3509 GRANBY ST STE B
Second Line :
City : NORFOLK
State : VA
Zip : 23504-1312
Country : US
Telephone Number : 757-423-8885
Fax Number : 757-423-8886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2023
Last Update Date : 04/15/2026

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