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Active NPI 1124610837 Individual Practitioner Male Practitioner

Ethan Kicker

Physical Therapist • Pelham, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ethan Kicker is a certified Physical Therapist practicing in Pelham, AL. With approximately 6 years of clinical experience since completing medical education in 2020, Ethan Kicker delivers high-quality medical care to the local community at 3569 PELHAM PKWY STE 7.

Ethan Kicker is affiliated with Therapy South - Alabaster and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using functional activities, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3569 Pelham Pkwy Ste 7

Pelham, AL 351242033

Telephone 2056648404
Associated Practice Facility / Clinic
🏢 Therapy South Pelham, Llc Facility NPI 1730286964

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Pelham, AL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -5.4 yrs vs City Avg
City Avg: 11.4 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
68 Specialists

Practicing in Pelham, AL (2936 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kicker (6 Years) 6 Yrs
Pelham Specialty Average (11.4 Years) 11.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
336 40 $59.50 $31.12
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
331 40 $56.50 $20.41
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
309 40 $57.05 $23.17
97140 Therapy procedure using manual technique, each 15 minutes
251 38 $50.00 $18.92
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
172 23 $30.40 $8.12
97162 Evaluation for physical therapy, typically 30 minutes
28 26 $155.00 $90.88
97535 Training for self-care or home management, each 15 minutes
27 25 $47.50 $21.97

Medical Specialties & State Licenses

CMS Verified: 2021-02-04
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License AL PTH10221

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
PTH10221 (AL)

Hospital & Practice Group Affiliations

Therapy South - Alabaster

9200 Hwy 119, Alabaster, AL 350075345

Phone: 2056089950

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Cassidy Porter , DPT

Physical Therapist

NPI 1245093764

Doctor of Physical Therapy

Patrick Berrell

Physical Therapist

NPI 1255008017
NPI 1255635140

Doctor of Physical Therapy, Certified Strength and Conditioning Specialist

Ryan Smeltzer

Physical Medicine & Rehabilitation

NPI 1285115550
Dr. Seth King , DPT

Physical Therapist

NPI 1316257934

Doctor of Physical Therapy

Dr. Sydney Crawford , DPT

Physical Therapist

NPI 1336930221

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 04, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2021

Registered at 3569 PELHAM PKWY STE 7, PELHAM, AL 351242033 (Tel: 2056648404)

📍
Updated Business Mailing Address February 04, 2021

Registered at 2823 GREYSTONE COMMERCIAL BLVD, HOOVER, AL 352422660

👤
Provider Name / Credentials Updated February 04, 2021

Recorded as ETHAN KICKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2021

Physical Therapist (License #PTH10221 in AL)

🟢
Initial NPI Registration & Enumeration February 04, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124610837
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2021
Last Update: February 04, 2021
Sole Proprietor: No

Mailing Address

2823 Greystone Commercial Blvd

Hoover, AL 352422660

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.