Tracy Hickam
NPI 1891654349 · Occupational Therapist · Edwardsville, IL
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tracy Hickam is a Occupational Therapist provider in Edwardsville, IL (NPI 1891654349).
Provider details
- NPI number
- 1891654349
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 056005745
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2026-01-20
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Frequently asked questions
- What is Tracy Hickam's NPI number?
- Tracy Hickam's National Provider Identifier (NPI) is 1891654349, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracy Hickam's specialty?
- Tracy Hickam is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Tracy Hickam located?
- Tracy Hickam's practice location on file with NPPES is 3210 Staunton Rd, Edwardsville, IL 62025-6926.
- What is Tracy Hickam's phone number?
- The practice phone number listed in the NPPES registry for Tracy Hickam is (559) 563-5760.
- Does Tracy Hickam accept Medicare?
- Tracy Hickam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tracy Hickam's NPI active?
- Yes — Tracy Hickam's NPI (1891654349) is active in the NPPES registry as of the last update on 2026-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.