DR. JENNIFER HICKS DPT
NPI 1104354554
Physical Therapist in Stafford, VA

Active since May 30, 2017Accepts Medicare Assignment
2777 JEFFERSON DAVIS HWY STE 109, STAFFORD, VA 22554(540) 318-8615(540) 318-8619 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 6, 2021, May 30, 2017 (3 updates tracked since 2017).

About Dr. Jennifer Hicks Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER HICKS DPT (NPI 1104354554) is an individual physical therapist in Stafford, Virginia, licensed in Virginia (2305211081) and active in the NPI registry since May 2017. She maintains a secondary practice location in Stafford and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104354554
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDR. JENNIFER HICKSCredential: DPT
Location Address2777 JEFFERSON DAVIS HWY STE 109Stafford, VA 22554-8323
Mailing AddressPo Box 791217Baltimore, MD 21279-1217 · (301) 932-4785 · Fax (301) 932-4789
Fax(540) 318-8619
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 30, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedMarch 18, 2022
✔ NPI 1104354554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in VA · 2305211081
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2777 JEFFERSON DAVIS HWY STE 109, Stafford, VA 22554

Secondary Practice Location 1

Location 1616 Garrisonville RdStafford, VA 22554-3707 · Phone (540) 628-4612 · Fax (540) 628-4615

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer Hicks Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446521710
PECOS Enrollment IDI20220329001817

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Hicks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22554 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2777 JEFFERSON DAVIS HWY STE 109
STAFFORD, VA 22554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Hicks's NPI number?

The NPI number for Jennifer Hicks is 1104354554. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Jennifer Hicks located?

Jennifer Hicks practices at 2777 Jefferson Davis Hwy Ste 109, Stafford, VA 22554. The listed phone number is (540) 318-8615.

What is Jennifer Hicks's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jennifer Hicks enrolled in Medicare?

Yes. Jennifer Hicks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennifer Hicks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Hicks reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Hicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Hicks was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.