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MALCOLM JAMES LICKERS
NPI 1255938098
Physical Therapist - Sports in Henrico, VA

Active since October 05, 2020
96.13/100
CMS Quality Rating
8191 STAPLES MILL RD, HENRICO, VA 23228(804) 523-2653 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Malcolm James Lickers NPPES

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

MALCOLM JAMES LICKERS (NPI 1255938098) is an individual sports provider in Henrico, Virginia, licensed in Virginia (2305202376) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1255938098
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameMALCOLM JAMES LICKERS
Location Address8191 STAPLES MILL RDHenrico, VA 23228-2751
Mailing Address3307 Quail Hill DrMidlothian, VA 23112-4431
Phone(804) 523-2653
Sole ProprietorNo
Enumeration DateOctober 5, 2020
NPPES CertifiedOctober 5, 2020
✔ NPI 1255938098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in VA · 2305202376
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
8191 STAPLES MILL RD, Henrico, VA 23228
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malcolm James Lickers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Lawrence Rehabilitation Specialists , Inc
Same address
Rehabilitation
8191 STAPLES MILL ROAD
Richmond, VA 23228
  • Reassigned Medicare billing, Virginia enrollment
  • 12 clinicians in this Medicare group
NPI 1558444513 (804) 523-2653

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.27
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

NICOLE MARIE ANDERSON PT, DPT, NCS
Physical Therapist
8191 STAPLES MILL RD
HENRICO, VA 23228
Henrico County (804) 523-2653
DAVID ALLEN LAWRENCE P.T.
Physical Therapist
8191 STAPLES MILL RD
RICHMOND, VA 23228
Henrico County (804) 523-2653
JEFFREY BRUCE SWAHLAN DPT, PT
Physical Therapist
8191 STAPLES MILL RD
RICHMOND, VA 23228
Henrico County (804) 523-2653
BETHANY LABRECQUE RUSSELL PT, DPT
Physical Therapist
8191 STAPLES MILL RD
HENRICO, VA 23228
Henrico County (804) 523-2653
MS. CAROLINE PAISLEY JONES PT, DPT
Clinic/Center (Physical Therapy)
8191 STAPLES MILL RD
RICHMOND, VA 23228
Henrico County (804) 523-2653
HUNTER JAMES ANDREWS PT, DPT
Physical Therapist
8191 STAPLES MILL RD
HENRICO, VA 23228
Henrico County (804) 523-2653
KATHERINE RAINSFORD MCCOMAS
Physical Therapist
8191 STAPLES MILL RD
HENRICO, VA 23228
Henrico County (804) 523-2653
ALAN GEE PTA
Physical Therapy Assistant
8191 STAPLES MILL RD
RICHMOND, VA 23228
Henrico County (804) 523-2653

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 Malcolm Lickers's NPI number?

The NPI number for Malcolm Lickers is 1255938098. It was assigned to this individual provider in the NPPES registry on October 5, 2020.

Where is Malcolm Lickers located?

Malcolm Lickers practices at 8191 Staples Mill Rd, Henrico, VA 23228. The listed phone number is (804) 523-2653.

What is Malcolm Lickers's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Malcolm Lickers enrolled in Medicare?

Yes. Malcolm Lickers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Malcolm Lickers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Malcolm Lickers reassigns Medicare benefits to Lawrence Rehabilitation Specialists , Inc (Richmond, VA). 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 Malcolm Lickers'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 Malcolm Lickers was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.