Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke Alic Kicos, PT

Individual provider Physical Therapist · NPI 1104456813

Brooke Alic Kicos, PT is a Physical Therapist in Mason, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5640 Cox Smith Rd
Mason, OH 45040-2210
Phone: (513) 398-2881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 820 E Center St, Blanchester, OH 45107-1310 — (937) 783-4949

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 015571 (OH)

Record details

NPI number1104456813
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 22, 2020
Last updated in NPPESJanuary 22, 2020
Certification dateJanuary 22, 2020
Mailing address6200 Osceola Rd, Morrow, OH 45152-9757

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