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

Wade Hicken, PTA

Individual provider Physical Therapy Assistant · NPI 1871374405

Wade Hicken, PTA is a Physical Therapy Assistant in Ogdensburg, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

214 King St
Ogdensburg, NY 13669-1142
Phone: (315) 393-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 012632 (NY)

Record details

NPI number1871374405
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 10, 2023
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023

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