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Active NPI 1033875240 Individual Practitioner Female Practitioner

Kayla Wicks , CPO, LPO

Orthotist • Longview, WA

Professional Overview & Biography Verified Profile Summary

Kayla Wicks, CPO, LPO is a registered healthcare professional specializing in Orthotist in Longview, WA. Practice services are available at 1516 HUDSON ST STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1516 Hudson St Ste 105

Longview, WA 986323046

Telephone 3604236049
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthotist in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Longview, WA (84 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-11-11
Orthotist Primary Specialty

NUCC Taxonomy Code: 222Z00000X

State License WA OI61230221

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Prosthetist

NUCC Taxonomy Code: 224P00000X

State License WA PS61132736

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Ian Smith , CPO

Prosthetist

NPI 1497537898

Certified Prosthetist Orthotist

John Dean

Orthotic Fitter

NPI 1841481991

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 11, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2021

Registered at 1516 HUDSON ST STE 105, LONGVIEW, WA 986323046 (Tel: 3604236049)

📍
Updated Business Mailing Address November 11, 2021

Registered at 830 GISH RD, ONALASKA, WA 985709529 (Tel: 2537975163)

👤
Provider Name / Credentials Updated November 11, 2021

Recorded as KAYLA WICKS, CPO, LPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2021

Prosthetist (License #PS61132736 in WA)

🟢
Initial NPI Registration & Enumeration November 11, 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: 1033875240
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2021
Last Update: November 11, 2021
Sole Proprietor: Yes

Mailing Address

830 Gish Rd

Onalaska, WA 985709529

Phone: 2537975163

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.