Tracy Scott Hickam
Tracy Scott Hickam is an Occupational Therapist in Private Practice in Edwardsville, Illinois. Qualified in 1980, 46 years ago. Practices as a sole proprietor.
- Years since qualifying
- 46
- In the registry since
- 2026
Practice location Address checks out
3210 Staunton RdEdwardsville, IL 62025-6926
Phone: (559) 563-5760
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 056005745 |
|---|
Record details
| NPI number | 1891654349 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 20, 2026 |
| Last updated in NPPES | January 21, 2026 |
| Certification date | January 21, 2026 |
| Mailing address | 3210 Staunton Rd, Edwardsville, IL 62025-6926 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1980 (46 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Edwardsville
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MS. Keli Ann Hatfield, OTR/L
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Renee Held, OTRL
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Andrea Hendricks, OTR/L
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Jamie Klingler
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Susan C Milam, OT
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Paige Richards
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Samantha Ross
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