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JENNY FERN HICKS DOCTORATE OF PT NPI 1578090833


NPI Information

NPI: 1578090833
Provider Name: JENNY FERN HICKS, DOCTORATE OF PT
Classification: Physical Therapist - 2251G0304X
Entity Type: Individual

Specialization: Geriatrics

Address:
220 S DIVISION AVE
SANDPOINT, ID
ZIP 83864
Phone: (208) 265-4514
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Jenny Fern Hicks, DOCTORATE OF PT is a geriatrics physical therapist in Sandpoint, ID. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult. Jenny Fern Hicks, DOCTORATE OF PT NPI is 1578090833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

220 S DIVISION AVE
SANDPOINT, ID
ZIP 83864-759
Phone: (208) 265-4514

The enumeration date for this NPI number is 5/17/2017 and was last updated on 5/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251G0304XPhysical TherapistGeriatricsPT-260IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PT-260OTHERIDAHOPHYSICAL THERAPY LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.