IndividualActive
Amy Wickham
NPI 1225654304 · Physical Therapy Assistant · Etna, OH
Provider details
- NPI number
- 1225654304
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 04376 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14196 National Rd Sw
Etna, OH 43068-3365
Phone: (740) 927-6782
Street-level locationGet directions
Mailing address
6992 Optimara Dr
Pickerington, OH 43147-7766
Registry dates
- Enumerated
- 2020-06-24
- Last updated
- 2020-06-24
- Certified
- 2020-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.