Katlin M. Hickerson, DPT
NPI 1639661440ActiveIndividual· Physical Therapist· Kansas City, MO
Physical Therapist (DPT) with Athletico Ltd and 1 other group, practicing in Kansas City, Missouri. Medicare paid $22,193 for services to 27 patients in 2024.
Overview
| NPI | 1639661440 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Jun 6, 2018 |
| Last updated in NPPES | Nov 5, 2024 |
| Certified by provider | Nov 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2018034739 | MO |
| Physical Therapist | 225100000X | 11-05858 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (KS); Practitioner - Physical Therapist in Private Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 966 across 14 procedure codes |
| Paid by Medicare | $22,193 |
Education and affiliations
| Medicare specialty | Physical Therapist In Private Practice |
|---|
Medical groups
- Athletico LtdOttawa, IL · 2,200 clinicians
- Preferred PT LLCLenexa, KS · 45 clinicians
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