Ms Elizabeth Johnson Hicks, PT is a
Physical Therapist based in Williston, Florida. Ms Elizabeth Johnson Hicks is licensed to practice in Florida (license number PT5183) and her current practice location is
37 S Main St, Williston, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 528-0022.
NPI number for Ms Elizabeth Johnson Hicks is 1477511525 and her current mailing address is 21645 Nw 87th Avenue Rd, Micanopy, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477511525.
Provider's Profile
| Full Name | Ms Elizabeth Johnson Hicks |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 37 S Main St, Williston, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477511525
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 01/22/2009
Medical Identifiers
Medical identifiers for Ms Elizabeth Johnson Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477511525 | NPI | - | NPPES |
| 890982200 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN1487192 (Florida) | Secondary |
| 225100000X | Physical Therapist | PT5183 (Florida) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | AL 36 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Elizabeth Johnson Hicks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Elizabeth Johnson Hicks, PT
21645 Nw 87th Avenue Rd,
Micanopy, FL 32667-7430
Ph: (352) 466-0130 | Ms Elizabeth Johnson Hicks, PT
37 S Main St,
Williston, FL 32696-2681
Ph: (352) 528-0022 |
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