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

Katlin M Hickerson, DPT

Individual provider Physical Therapist · NPI 1639661440

Katlin M Hickerson, DPT is a Physical Therapist in Private Practice in Kansas City, Missouri. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Licensed in
KS, MO
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

333 E Gregory Blvd
Kansas City, MO 64114-1123
Phone: (816) 313-8899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2018034739 (MO)
Physical Therapist Taxonomy 225100000X · Licence 11-05858 (KS)

Record details

NPI number1639661440
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 6, 2018
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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