TRACY SCOTT HICKAM
NPI 1891654349
Occupational Therapist in Edwardsville, IL

Active since January 20, 2026
3210 STAUNTON RD, EDWARDSVILLE, IL 62025(559) 563-5760 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tracy Scott Hickam NPPES

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

TRACY SCOTT HICKAM (NPI 1891654349) is an individual occupational therapist in Edwardsville, Illinois, licensed in (056005745) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1891654349
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameTRACY SCOTT HICKAM
Location Address3210 STAUNTON RDEdwardsville, IL 62025-6926
Mailing Address3210 Staunton RdEdwardsville, IL 62025-6926
Sole ProprietorYes
Enumeration DateJanuary 20, 2026
Last NPPES UpdateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
NPI 1891654349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed · 056005745
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

3210 STAUNTON RD, Edwardsville, IL 62025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891654349, enumerated as an "individual" on January 20, 2026.

The provider is located at 3210 STAUNTON RD EDWARDSVILLE, IL 62025 and the phone number is (559) 563-5760.

Occupational Therapist with taxonomy code 225X00000X.