Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY SCOTT HICKAM
Active Sole ProprietorTRACY SCOTT HICKAM is a Occupational Therapist healthcare provider located in EDWARDSVILLE, Illinois. NPI 1891654349 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · EDWARDSVILLE, IL
Registration Details
- NPI Number
- 1891654349
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2026 (0.55964875611736 yrs)
- Last Updated
- Jan 21, 2026
- License
-
056005745
- Sole Proprietor
- Yes
Practice Information
- Address
-
3210 STAUNTON RDEDWARDSVILLE, IL, 620256926Browse IL providers · Browse ZIP 62025
- Phone
- 5595635760
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in EDWARDSVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| SUSAN C MILAM | OT | 1417980129 |
| RENEE HELD | OTR L | 1225179278 |
| MELISSA DARLENE MCKAIG | OTR/L | 1205033735 |
| DIANE MARIE GASSIRARO | — | 1790958577 |
| MRS. TINA ELIZABETH GREENLAND | O.T.R./L | 1750529996 |
| MS. KELI ANN HATFIELD | OTR/L | 1750637500 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.