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

Crystal Jennifer Hicks

Individual provider Physical Therapist · NPI 1871206177

Crystal Jennifer Hicks is a Physical Therapist in Private Practice in Tempe, Arizona. Qualified in 2022, 4 years ago. Practices with Physical Therapy at Dawn LLC, a 31-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

5110 S Rural Rd Ste 104
Tempe, AZ 85282-7289
Phone: (480) 222-0655
Fax: (480) 222-1457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5111 N Scottsdale Rd Ste 100, Scottsdale, AZ 85250-7076 — (480) 990-1379
  • 3611 Nm 528 Nw Ste 101, Albuquerque, NM 87114-8920 — (505) 217-2826

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (AZ)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence LPT-32758 (AZ)

Record details

NPI number1871206177
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 2, 2023
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Physical Therapy At Dawn Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Tempe