DARRELL W HICKERSON JR. (NPI# 1245436898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245436898 |
| Entity Type | Individual |
| Full Name | DARRELL W HICKERSON JR. |
| Credential | MPT |
| Practice Address |
1300 Verterans Blvd. Festus MO 63028 |
| Mailing Address |
625 Enterprise Dr. Oakbrook IL 60523 |
| Practice Telephone | 6369312100 |
| Mailing Telephone | 6305756250 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2019-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 112723 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12639 Old Tesson Rd, Suite 120, Saint Louis, MO 631282786 | 3148423968 | 3148425236 |
| 1300 Verterans Blvd., Festus, MO 63028 | 6369312100 |
| Street Address |
1300 VERTERANS BLVD. |
| City | FESTUS |
| State | MO |
| Zip Code | 63028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979973 | Zachary W Dowdy | Physical Therapist | 1171 W Gannon Dr, Festus, MO 63028-2602 | 2020-07-10 |
| 1124408026 | Paden Norrick | Physical Therapist | 708 Jerome Dr, Festus, MO 63028-1079 | 2015-06-04 |
| 1750514584 | Crystal Kiyomi Okamoto | Physical Therapist | 1171 West Gannon, Festus, MO 63028 | 2009-08-27 |
| 1629255633 | Alison A Bauer | Physical Therapist | 336 Festus Centre Dr, Festus, MO 63028-2458 | 2008-01-22 |
| 1174643373 | Craig M Brown | Physical Therapist | 1300 Veterans Blvd Ste C, Festus, MO 63028-2394 | 2007-03-30 |
| 1962532697 | Kathleen Miller | Physical Therapist | #5 Industiral Drive, Festus, MO 63028 | 2007-03-06 |
| 1730298480 | Ward Nelson Strahan | Physical Therapist | 376 Festus Center Drive, Festus, MO 63028 | 2006-08-29 |
| 1437263159 | Jennifer Lynne Gillam | Physical Therapist | 376 Festus Centre Dr, Festus, MO 63028-2462 | 2006-08-18 |
| 1134163603 | Michael Thomas Cibulka | Physical Therapist | 1330 Ymca Dr, Suite 1200, Festus, MO 63028-2661 | 2006-06-15 |
| 1831670249 | Jacob D Graham | Physical Therapist | 1300 Veterans Blvd, Festus, MO 63028-2394 | 2018-08-23 |
| Find all providers in FESTUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.