THOMAS C LICKLIDER II (NPI# 1568782860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568782860 |
| Entity Type | Individual |
| Full Name | THOMAS C LICKLIDER II |
| Credential | CO |
| Practice Address |
132 Forest Ridge Dr Nebo NC 28761-8708 |
| Practice Telephone | 3147575395 |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2011-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
132 FOREST RIDGE DR |
| City | NEBO |
| State | NC |
| Zip Code | 28761-8708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821376542 | The Mcdowell Hospital Inc | Family Medicine | 339 Nebo School Road, Nebo, NC 28761 | 2011-07-29 |
| 1033237532 | Truett Family Care Home | Custodial Care Facility | 728 Nedmcgimsey Rd, Nebo, NC 28761 | 2007-03-26 |
| 1023158565 | Bennick, Inc. | Assisted Living Facility | 405 Jack Corpening Road, Nebo, NC 28761 | 2007-02-07 |
| 1215097357 | Nc Outreach Group Homes, LLC | Intermediate Care Facility, Mentally Retarded | 2121 Old Highway 10 E, Nebo, NC 28761 | 2006-12-11 |
| 1396732236 | Craig Iversen | Psychologist | 1251 Pinnacle Church Road, Nebo, NC 28761 | 2005-10-05 |
| 1497895684 | Bennick, Inc. | Assisted Living Facility | 3341 Old Highway #10, East, Nebo, NC 28761-0001 | 2007-02-07 |
| 1114282282 | Robert Newton | Counselor | 1251 Pinnacle Church Road, Nebo, NC 28761-0964 | 2012-07-05 |
| 1952666026 | Susan Jimison | Registered Nurse | 1251 Pinnacle Church Road, Nebo, NC 28761-0964 | 2012-07-05 |
| 1144606500 | Community Companion Home Care, LLC | Community/Behavioral Health | 3288 Harmony Grove Rd, Nebo, NC 28761-5707 | 2015-08-07 |
| 1831511310 | Robin Stine | Registered Nurse | 1251 Pinnacle Church Rd., Nebo, NC 28761-5753 | 2014-01-17 |
| Find all providers in zip 28761 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603442 | Alan Kur | Orthotist | 508 Small Dr, Elizabeth City, NC 27909-9498 | 2020-06-09 |
| 1497386452 | Kaddie Surratt | Orthotist | 400 Meadowmont Village Cir Ste 425, Chapel Hill, NC 27517-7505 | 2020-01-29 |
| 1386288298 | Limbionics of Goldsboro, Inc. | Orthotist | 2103 Wayne Memorial Dr Ste B, Goldsboro, NC 27534-1721 | 2019-11-04 |
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1790346559 | Alexander Hedquist | Orthotist | 3224 Lake Woodard Dr Ste 100, Raleigh, NC 27604-3659 | 2019-06-24 |
| 1558856450 | Jason Pantages | Orthotist | 200 Timberhill Pl Unit 203, Chapel Hill, NC 27514-1964 | 2018-06-25 |
| 1326530809 | Zoe Butler | Orthotist | 5007 Southpark Dr Ste 110, Durham, NC 27713-7739 | 2018-05-31 |
| 1407350507 | Performance Footcare | Orthotist | 2024 Randolph Rd, Charlotte, NC 28207-1216 | 2018-03-22 |
| 1437660834 | Christos George Lemonis | Orthotist | 10420 Park Rd Ste 100a, Charlotte, NC 28210-8501 | 2017-10-12 |
| 1871003616 | Andrew Humann | Orthotist | 715 Fairgrove Church Rd Se Ste 203, Conover, NC 28613-9289 | 2017-10-06 |
| Find all providers with the same taxonomy | ||||
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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.