Stephanie Hickman, DPT in Murray, UT - Medicare Physical Therapist Provider

Stephanie Hickman, DPT is a medicare enrolled "Physical Therapist" provider in Murray, Utah. Her current practice location is 5770 S 250 E Ste G50, Murray, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 314-5000.

Stephanie Hickman is licensed to practice in Utah (license number 12846512-2401) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144933995.

Contact Information

	Stephanie Hickman, DPT
	5770 S 250 E Ste G50, Murray, UT 84107-6165
	(801) 314-5000
	(801) 314-5011

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Hickman
Gender	Female
Speciality	Physical Therapist
Location	5770 S 250 E Ste G50, Murray, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144933995
Provider Enumeration Date: 12/26/2022
Last Update Date: 03/01/2024

Medicare PECOS Information:

PECOS PAC ID: 0648640185
Enrollment ID: I20221228001179

Medical Identifiers

Medical identifiers for Stephanie Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144933995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Secondary
225100000X	Physical Therapist	12846512-2401 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Hickman allows following entities to bill medicare on her behalf.

Provider Name	Back At Work Of Utah Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1902423049 PECOS PAC ID: 9830517341 Enrollment ID: O20200916000070

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. Stephanie Hickman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stephanie Hickman, DPT Po Box 25537, Salt Lake City, UT 84125-0537 Ph: () -	Stephanie Hickman, DPT 5770 S 250 E Ste G50, Murray, UT 84107-6165 Ph: (801) 314-5000

Reviews and Comments

Physical Therapist in Murray, UT

Roger L Larson Rpt Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6040 Fashion Blvd, Ste. #200, Murray, UT 84107 Phone: 801-266-7534 Fax: 801-266-7547
Nathaniel Alan Keller, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 805-798-2901
Anjali Grace Garrett, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5171 S Cottonwood St # 900, Murray, UT 84107 Phone: 801-507-2050
Jacob Holt, PT, DPT, MS Physical Therapist Medicare: Medicare Enrolled Practice Location: 5151 900 E #100, Murray, UT 84117 Phone: 801-261-3321
Stability Rehabilitation Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 37 W Malstrom Ct, Murray, UT 84107 Phone: 801-824-7600
Kerry L Groebs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5848 Fashion Blvd, Murray, UT 84107 Phone: 801-314-4040
Joel L Nuttall, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5848 S 300 E, Murray, UT 84107 Phone: 801-314-4040

Stephanie Hickman, DPT - Medicare Physical Therapist in Murray, UT