JENNY FERN HICKS (DOCTORATE OF PT) – Geriatric Physical Therapist, NPI 1578090833
Geriatric Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID
Provider Addresses for JENNY FERN HICKS (DOCTORATE OF PT)
1905 PINE ST
SANDPOINT, ID 838648311
Phone: (208) 263-7998
Type: Mailing
820, Elm Drive, Saint Maries, Benewah County, Idaho, 83861, United States
ST MARIES, ID 838612119
Phone: (208) 245-4576
Type: Mailing
220, South Division Avenue, Sandpoint, Bonner County, Idaho, 83864, United States
SANDPOINT, ID 838641759
Phone: (208) 265-4514
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170710001574 | I | Physical Therapist In Private Practice | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,087 | 82 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 432 | 70 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 23 | 22 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 22 | 11 | $0 |
| 97163 | Evaluation for physical therapy, typically 45 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 83864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | ID | |
| Physical Therapist In Private Practice | WA |
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