| 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 Therapist In Private Practice |
| Experience | 10 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 | 13 |
| 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 |
Matthew Gregory Prindle, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5605 100th St Sw Ste B, Lakewood, WA 98499 Phone: 253-284-9800 Fax: 253-284-9801 | |
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: Not Enrolled in Medicare Practice Location: 8524 Steilacoom Blvd Sw, Lakewood, WA 98498 Phone: 253-722-5511 | |
Mikayla Barton, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9521 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-983-9395 |