| Kathleen M Hickman, PT | |
|
4329 Mahoning Ave Nw Ste B, Warren, OH 44483-1974 | |
| (330) 847-7819 | |
| (330) 847-8192 |
| Full Name | Kathleen M Hickman |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 27 Years |
| Location | 4329 Mahoning Ave Nw Ste B, Warren, Ohio |
| 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 |
|---|---|---|---|
| 1922319581 | NPI | - | NPPES |
| 3092166 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT010250 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| River Rock Rehabilitation Llc | 3779492186 | 19 |
| Dandd Sports Med Sanger, Llc | 1557366176 | 3 |
| Dandd Sports Med Aubrey, Llc | 6901980838 | 6 |
| Sports Med Denton Llc | 9638144439 | 7 |
| Bethesda Physical Therapy | 9032169529 | 9 |
| Provider Name | Nbj Outpatient Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720250921 PECOS PAC ID: 9537248554 Enrollment ID: O20090928000522 |
| Provider Name | River Rock Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689894461 PECOS PAC ID: 3779492186 Enrollment ID: O20241104002615 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen M Hickman, PT 6131 Mill Creek Blvd, Boardman, OH 44512-2723 Ph: (330) 770-5263 | Kathleen M Hickman, PT 4329 Mahoning Ave Nw Ste B, Warren, OH 44483-1974 Ph: (330) 847-7819 |
Matthew Robert Creed, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Tod Ave Nw, Warren Va Clinic, Warren, OH 44485 Phone: 330-392-0311 | |
Tu-dor Therapies, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4451 Mahoning Ave Nw Ste A, Warren, OH 44483 Phone: 330-372-0207 Fax: 330-372-0206 | |
Susan L Booth, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4451a Mahoning Ave, Warren, OH 44483 Phone: 330-847-0919 Fax: 330-847-0728 | |
Mrs. Charlene Campbell Pallante, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 E Market St, Warren, OH 44481 Phone: 330-399-2221 Fax: 330-394-0122 | |
Katherine Ann Love, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 140 Highland Terrace Blvd, Warren, OH 44484 Phone: 330-652-8733 | |
Dawn Tellman, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2614 E Market St, Warren, OH 44483 Phone: 330-394-8282 | |
Jonnah Anderson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 320 E Market St, Warren, OH 44481 Phone: 330-399-2221 Fax: 330-394-0122 |