Healthcare Provider Details

I. General information

NPI: 1225811011
Provider Name (Legal Business Name): ALLISON HICKEY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 14TH ST SW STE 200
LOVELAND CO
80537-6349
US

IV. Provider business mailing address

14460 SW ARABIAN DR
BEAVERTON OR
97008-6773
US

V. Phone/Fax

Practice location:
  • Phone: 970-663-0815
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP060089T
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number64974
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL88881
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT44199
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP054718T
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: